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Illinois rates for HCPCS 84377

Sugars Mono Di&Oligos Mlt Qualitative Each Spe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.74 / $11.00 / $15.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.73 / $10.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.85 / $16.46 / $57.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.24 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $13.64 / $25.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $6.56 / $8.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $10.25 / $102.56
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
$7.15 / $7.15 / $7.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.77 / $6.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.38 / $5.67