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Illinois rates for HCPCS 77076

Radiologic Examination Osseous Survey Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.92 / $159.88 / $333.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.90 / $102.92 / $185.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.22 / $266.25 / $1,047.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.57 / $124.67 / $239.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.02 / $200.63 / $331.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.81 / $133.38 / $198.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $175.68 / $483.50
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.88 / $128.87 / $140.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $46.27 / $146.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.26 / $128.26 / $180.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.45 / $123.67 / $202.18