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Illinois rates for HCPCS 35697

Rimpltj Visc Art Infrarnl Aortic Prosth Ea Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.83 / $1,609.00 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.18 / $1,730.88 / $3,466.08
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
$160.46 / $257.20 / $652.55
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
$578.00 / $2,873.00 / $7,384.00