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Illinois rates for HCPCS A4322

Irrigation Syringe Bulb Or Piston Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.21 / $3.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.44 / $3.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $22.80 / $45.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.96 / $3.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $4.32 / $9.55
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $5.12 / $5.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $5.52 / $5.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.96 / $3.47