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Illinois rates for HCPCS 33883

Plmt Prox Xtn Prosth Evasc Rpr Dta 1st Xtn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $2,168.44 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,068.78 / $12,981.36 / $25,995.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.78 / $1,878.41 / $4,615.18
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
$578.00 / $2,873.00 / $7,384.00