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Illinois rates for HCPCS A0422

Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.56 / $27.56 / $27.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $114.00 / $114.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.48 / $100.00 / $142.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $33.89 / $51.29