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Illinois rates for HCPCS A4550

Surgical Trays (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $12.19 / $17.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $12.19 / $20.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.00 / $667.43 / $3,342.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $9.98 / $190.00
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
$9.97 / $10.47 / $11.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $13.27 / $23.38