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Illinois rates for HCPCS 87300

Iaadi Polyv Mlt Organisms Ea Polyv Antiserum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $23.96 / $35.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $10.09 / $24.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.41 / $63.97 / $158.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $8.67 / $9.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.52 / $29.00 / $55.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $14.46 / $18.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $19.17 / $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
$15.57 / $15.57 / $15.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.39 / $6.59 / $14.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.90 / $23.96 / $23.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $7.79 / $16.76