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Illinois rates for RC 0790

Lithotripsy - General Classification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,098.00 / $17,394.00 / $17,394.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,824.35 / $5,824.35 / $5,824.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.00 / $5,082.00 / $8,160.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,756.00 / $6,025.00 / $6,771.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $6,081.00 / $15,920.00