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Illinois rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.88 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $346.74 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $467.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00