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Illinois rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.87 / $299.83 / $8,230.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $381.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.05 / $76.41 / $98.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.34 / $94.87 / $178.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $110.54 / $136.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $832.14 / $1,174.51
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $700.00 / $700.00