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Illinois rates for HCPCS 0643T

Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed, arterial approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,623.41 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $7,762.47 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $6,456.54 / $8,511.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,951.21 / $7,413.10