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Illinois rates for HCPCS A4890

Contracts, repair and maintenance, for hemodialysis equipment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $251.19 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $776.25
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
$30.20 / $30.20 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50