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Illinois rates for HCPCS 35013

Dir Rpr Ruptd Aneurysm Axil-Brachial Arm Incis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $2,438.13 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.06 / $1,572.38 / $2,438.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,959.16 / $14,885.92 / $29,809.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.38 / $1,758.45 / $2,045.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.40 / $1,854.91 / $3,044.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.36 / $1,947.89 / $5,154.02
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
$1,292.81 / $1,534.70 / $1,722.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,947.66
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
$1,323.04 / $1,896.13 / $3,183.23