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Illinois rates for HCPCS A4615

Cannula Nasal (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $1.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.63 / $0.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $5.92 / $11.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.77 / $0.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $1.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $2.63 / $9.97
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
$1.33 / $1.33 / $1.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.39 / $1.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.51 / $0.89