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Illinois rates for HCPCS 85290

Clotting Factor Xiii Fibrin Stabilizing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.73 / $33.50 / $395.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $14.07 / $26.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $9.80 / $9.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.69 / $52.13 / $171.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $11.27 / $12.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.07 / $40.09 / $75.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $19.82 / $24.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $29.66 / $253.65
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
$21.24 / $21.24 / $21.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $11.21 / $20.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $10.62 / $19.07