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Illinois rates for HCPCS 80363

Opioids and opiate analogs; 3 or 4

Facilitymedian $55 · 10th–90th $36–$1120%10%10th90th$55Professionalmedian $234 · 10th–90th $100–$3980%10%10th90th$234$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $54.95 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.84 / $36.31
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $234.42 / $398.11
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70