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Illinois rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $3,636.00 / $7,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,309.98 / $2,763.26 / $4,369.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,229.91 / $26,160.24 / $52,385.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,689.00 / $3,217.99 / $3,743.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.31 / $3,394.43 / $5,516.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,299.92 / $3,565.06 / $9,130.64
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
$2,351.94 / $2,808.83 / $3,152.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,564.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.00 / $2,714.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,347.27 / $3,442.50 / $5,647.53