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Illinois rates for HCPCS A4649

Surgical Supply; Miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $244.12 / $1,359.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $16.00 / $2,932.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.55 / $15.55 / $19.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $200.00 / $345.40
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