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Illinois rates for HCPCS A4563

Rectal Control System For Vaginal Insertion For Long Term Use Includes Pump And All Supplies And Accessories Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.26 / $925.26 / $925.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.70 / $925.26 / $1,638.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.87 / $7,830.52 / $17,079.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.35 / $1,094.13 / $1,748.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $1,803.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $1,910.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.08 / $222.66 / $1,812.39
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
$2,141.92 / $2,141.92 / $2,141.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.78 / $2,059.54 / $2,471.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.12 / $77.33 / $187.97