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Illinois rates for HCPCS 90791

Psychiatric Diagnostic Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.14 / $176.23 / $321.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.45 / $151.00 / $255.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$131.74 / $131.74 / $131.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $131.56 / $197.60
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$165.45 / $165.45 / $165.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.32 / $645.32 / $645.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.22 / $195.66 / $227.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.00 / $246.37 / $246.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.85 / $154.87 / $257.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.74 / $189.37 / $282.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $136.65 / $257.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.88 / $172.63 / $265.69