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Illinois rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,005.94 / $2,005.94 / $2,005.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.33 / $2,005.94 / $3,339.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,843.14 / $8,193.74 / $34,871.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,080.18 / $3,080.18 / $3,080.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $4,107.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $3,178.59 / $4,698.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,444.94 / $4,590.35 / $5,603.64
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
$5,268.73 / $5,268.73 / $5,268.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.33 / $2,138.27 / $3,054.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.03 / $2,021.93 / $3,580.29