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Illinois rates for HCPCS 80377

Drug/Substance Definitive Qual/Quant Nos 7/More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $21.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $21.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $242.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $11.54 / $27.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $113.06 / $192.54
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $14.45 / $24.18