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Illinois rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.69 / $123.00 / $161.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $123.00 / $130.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $10.54 / $50.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.85 / $59.85 / $71.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.44 / $102.92 / $168.98
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 / $40.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $138.38