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Illinois rates for HCPCS 33875

Descending Thoracic Aorta Graft W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $3,636.00 / $7,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,833.26 / $3,383.05 / $5,303.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,973.01 / $32,027.84 / $64,135.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,360.68 / $4,021.81 / $4,689.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,635.12 / $4,105.43 / $5,757.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,620.71 / $4,271.67 / $16,168.87
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
$3,019.38 / $3,518.07 / $3,939.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,454.56
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
$2,616.00 / $4,110.30 / $6,903.97