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Illinois rates for HCPCS 86653

Antibody; encephalitis, St. Louis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $22.91 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.48 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $34.67 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $10.23 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $30.20 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $15.49 / $19.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $26.30 / $151.36
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
$16.98 / $16.98 / $16.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $13.18 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.91 / $13.18