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Illinois rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $138.04 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $87.10 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $616.60 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $165.96 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $128.82 / $190.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $154.88 / $489.78
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
$109.65 / $112.20 / $123.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $446.68 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $165.96