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Illinois rates for HCPCS A7501

Tracheostoma Valve Including Diaphragm Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.40 / $82.40 / $82.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.43 / $82.40 / $146.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.90 / $370.67 / $1,286.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.05 / $110.05 / $110.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.15 / $88.15 / $161.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.93 / $88.15 / $170.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.38 / $197.60 / $247.40
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
$190.75 / $190.75 / $190.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.93 / $183.41 / $220.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.14 / $82.22 / $146.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.56 / $73.20 / $125.67