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Illinois rates for HCPCS 86769

Antb Severe Aqt Respir Synd Sars-Cov-2 Covid-19

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.13 / $67.41 / $119.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $42.13 / $84.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $25.28 / $25.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.90 / $42.13 / $67.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $42.13 / $42.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.22 / $100.76 / $193.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $48.40 / $60.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.24 / $65.88 / $150.34
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
$54.77 / $54.77 / $54.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.12 / $30.00 / $44.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $25.28 / $43.39