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Illinois rates for HCPCS B4081

Nasogastric Tubing With Stylet (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.92 / $19.92 / $19.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $16.98 / $19.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.25 / $59.34 / $233.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.03 / $18.79 / $18.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $17.17 / $17.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $27.47 / $47.93
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
$24.43 / $24.43 / $24.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $20.37 / $43.29