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Illinois rates for HCPCS 82355

Calculus Qualitative Analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.16 / $22.54 / $153.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $10.30 / $20.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $17.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.36 / $38.40 / $121.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $7.99 / $8.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $28.14 / $53.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $14.04 / $17.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.16 / $22.39 / $84.34
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
$15.05 / $15.05 / $15.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $6.37 / $14.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $11.58 / $13.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $7.86 / $11.93