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Illinois rates for HCPCS 35121

Dir Rpr Aneurysm Hepatic/Celiac/Renal/Mesenteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $3,214.76 / $5,574.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.17 / $1,969.42 / $3,214.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,716.40 / $18,644.72 / $37,336.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,962.03 / $2,348.01 / $2,731.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.80 / $2,417.92 / $4,049.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.06 / $2,601.06 / $6,693.58
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
$1,719.71 / $2,049.32 / $2,299.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,600.67
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
$1,657.96 / $2,509.21 / $4,310.93