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Illinois rates for HCPCS 33886

Plmt Dstl Xtn Prosth Dlyd After Evasc Rpr Dta

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $1,883.47 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,265.05 / $11,262.16 / $22,552.47
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
$994.70 / $1,624.54 / $4,029.09
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