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Illinois rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.82 / $17.52 / $42.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $9.10 / $11.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.20 / $55.76 / $113.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.69 / $8.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $19.01 / $120.00
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
$6.00 / $12.00 / $15.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $12.66 / $20.07