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Illinois rates for HCPCS 33987

Artery Expos/Graft Artery Perfusion Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.55 / $1,609.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.64 / $255.55 / $408.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.05 / $2,419.36 / $4,844.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.55 / $302.24 / $353.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.52 / $321.13 / $478.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.49 / $348.43 / $1,019.95
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
$227.21 / $265.30 / $296.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $334.76
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
$217.98 / $331.47 / $524.46