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Illinois rates for HCPCS 33697

Compl Rpr T-Fallot W/Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $3,458.67 / $7,194.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.50 / $2,545.78 / $4,069.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,267.34 / $24,101.28 / $48,262.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,556.39 / $3,029.01 / $3,525.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,258.30 / $3,183.96 / $4,950.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.12 / $3,458.67 / $8,262.87
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
$2,264.85 / $2,644.86 / $2,966.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,354.94
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
$2,148.41 / $3,087.44 / $5,169.07