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Illinois rates for HCPCS D0330

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.39 / $29.39 / $29.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.39 / $40.44 / $58.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.76 / $345.70 / $445.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.64 / $50.64 / $53.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.84 / $146.38 / $168.03
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
$40.00 / $2,500.00 / $2,500.00