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Illinois rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.40 / $852.80 / $1,216.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.60 / $439.19 / $660.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.00 / $2,247.69 / $6,878.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.02 / $1,243.83 / $2,394.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.05 / $633.47 / $877.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.40 / $834.56 / $1,462.04
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
$676.00 / $676.00 / $676.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.20 / $707.20 / $780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $520.00