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Illinois rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $26.88 / $36.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $11.56 / $30.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.41 / $71.68 / $177.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $10.35 / $10.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.04 / $33.13 / $62.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $16.52 / $20.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $24.86 / $113.75
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
$17.47 / $17.47 / $17.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $7.39 / $16.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $8.74 / $14.70