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Illinois rates for HCPCS 01916

Anesthesia Diagnostic Arteriography/Venograph

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$407.40 / $407.40 / $407.40
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$806.60 / $806.60 / $1,707.72
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$584.79 / $896.51 / $896.51
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$907.90 / $907.90 / $907.90
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$393.30 / $393.30 / $816.00
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$227.81 / $227.81 / $345.64
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$199.70 / $199.70 / $199.70
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$301.24 / $579.30 / $698.63
Cigna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$180.00 / $180.00 / $180.00