go back

Illinois rates for HCPCS 33258

Atria Abltj & Rcnstj W/Other Px Extensiv W/O Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.21 / $1,842.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.27 / $795.21 / $1,259.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,519.48 / $7,528.32 / $15,075.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.99 / $945.52 / $1,105.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.85 / $995.02 / $1,559.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.41 / $1,090.47 / $2,709.97
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.55 / $829.01 / $926.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,047.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.76 / $980.75 / $1,780.74