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Illinois rates for HCPCS 80220

Drug Assay Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.28 / $30.56 / $51.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $12.59 / $16.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $11.18 / $11.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.60 / $76.91 / $271.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $14.35 / $14.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.03 / $44.60 / $86.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $21.48 / $27.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $32.61 / $294.17
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
$24.23 / $24.23 / $24.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $12.79 / $23.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $19.57 / $46.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $11.18 / $18.64