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Illinois rates for HCPCS 33504

Rpr Anom Coronary Art Pulm Art Origin Grf W/Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $2,825.41 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.57 / $1,813.99 / $2,825.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,028.50 / $17,173.28 / $34,389.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.60 / $2,164.29 / $2,518.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.99 / $2,283.02 / $3,499.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.11 / $2,471.17 / $5,958.79
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
$1,636.74 / $1,889.72 / $2,119.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,397.17
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
$1,529.48 / $2,254.21 / $3,918.02