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Illinois rates for HCPCS E0300

Pediatric crib, hospital grade, fully enclosed, with or without top enclosure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.30 / $1,809.30 / $1,809.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.08 / $1,809.30 / $2,490.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,142.61 / $23,834.48 / $47,728.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.65 / $233.63 / $233.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $3,142.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.27 / $1,950.00 / $3,611.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $4,372.60
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
$350.45 / $350.45 / $467.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.77 / $1,367.31 / $2,412.83