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Illinois rates for HCPCS 35363

Teaec W/Wo Patch Graft Combined Aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $3,415.93 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.22 / $2,021.91 / $3,397.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,948.73 / $19,141.68 / $38,331.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.02 / $2,412.62 / $3,017.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.71 / $2,540.57 / $4,234.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.14 / $2,672.27 / $7,106.46
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
$1,766.52 / $2,105.42 / $2,363.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,672.22
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
$1,788.62 / $2,664.04 / $4,097.59