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Illinois rates for HCPCS 80377

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $12.88 / $26.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $114.82 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $19.05 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $14.45 / $23.99