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Illinois rates for HCPCS 35011

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $3,090.30 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $8,128.31 / $17,782.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,659.59 / $4,677.35
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
$2,570.40 / $6,456.54 / $14,791.08