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Illinois rates for HCPCS A9558

Xenon Xe-133 Gas Diagnostic Per 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.48 / $244.90 / $551.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $244.90 / $290.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.44 / $1,710.38 / $3,978.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.12 / $306.12 / $306.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.95 / $375.23 / $566.82
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
$508.18 / $508.18 / $508.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $285.70