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Illinois rates for HCPCS 87255

Virus Id Non-Immunologic Oth/Thn Cytopathic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.12 / $57.86 / $101.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.77 / $30.48 / $57.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $20.32 / $20.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.60 / $109.77 / $355.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $24.77 / $26.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.38 / $82.73 / $156.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.12 / $41.30 / $51.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $59.26 / $158.91
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
$44.02 / $44.02 / $44.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $23.23 / $42.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $22.01 / $34.88