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Illinois rates for HCPCS A9999

Miscellaneous Dme Supply Or Accessory Not Otherwise Specified

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.08 / $70.08 / $70.08
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