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Illinois rates for HCPCS Q4168

AmnioBand, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $14.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $200.00 / $345.40
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
$23.19 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $18.09