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Illinois rates for HCPCS 88311

Decalcification procedure (List separately in addition to code for surgical pathology examination)

Facilitymedian $33 · 10th–90th $23–$560%10%20%10th90th$33Professionalmedian $19 · 10th–90th $7–$690%5%10th90th$19$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $56.23
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $48.98
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $23.99 / $77.62
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6.03 / $7.41 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.50 / $6.76 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $20.89 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.75 / $7.08 / $19.95
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.02 / $4.47 / $13.80
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $34.67 / $77.62
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $19.95 / $69.18
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$7.24 / $11.75 / $69.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $22.39 / $69.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $13.49 / $63.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.75 / $8.32 / $14.45