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Illinois rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.90 / $553.09 / $1,021.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.84 / $472.90 / $955.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.61 / $2,413.66 / $8,431.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $802.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $451.70 / $1,107.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.38 / $1,820.17 / $2,247.84
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
$1,242.10 / $1,242.10 / $1,242.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.93 / $476.67 / $818.28