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Illinois rates for HCPCS 80186

Phenytoin; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $27.54 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $28.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $36.31 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $9.55 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $30.90 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $16.22 / $21.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $27.54 / $151.36
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
$17.78 / $17.78 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $13.80 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $10.47 / $13.80