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Illinois rates for HCPCS A4305

Disposable Drug Delivery System Flow Rate Of 50 Ml Or Greater Per Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.37 / $7.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.37 / $8.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $5.93 / $5.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $10.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.93 / $79.04 / $150.00
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
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $5.81 / $10.03