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Illinois rates for HCPCS 80155

Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $66.07 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $31.62 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $134.90 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $29.51 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $77.62 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $42.66 / $56.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $58.88 / $134.90
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
$50.12 / $50.12 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $38.90 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $16.22 / $32.36