go back

Illinois rates for HCPCS 87425

Iaad Ia Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.83 / $46.80 / $210.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $10.70 / $16.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $7.19 / $16.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $38.40 / $125.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $8.27 / $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
$12.58 / $22.46 / $108.16
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
$5.99 / $8.22 / $12.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $8.99 / $14.01