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Illinois rates for HCPCS 35303

Teaec W/Graft Popliteal Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $2,453.71 / $7,407.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,797.00 / $14,539.04 / $29,114.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.83 / $2,085.53 / $4,571.43
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
$785.00 / $2,714.00 / $6,625.00