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Illinois rates for HCPCS 90749

Unlisted Vaccine/Toxoid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.50 / $84.50 / $172.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $20.01 / $35.57
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
$17.51 / $17.64 / $19.27