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Illinois rates for HCPCS 84255

Assay Of Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.72 / $58.31 / $113.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $22.24 / $43.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.20 / $82.32 / $268.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $18.14 / $19.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.68 / $62.26 / $117.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.68 / $30.98 / $39.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $43.28 / $170.93
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
$33.19 / $33.19 / $33.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $12.77 / $31.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.80 / $42.80 / $42.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.32 / $25.53