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Illinois rates for HCPCS 35876

Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.61 / $3,148.00 / $8,783.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,163.33 / $9,692.20 / $19,783.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.00 / $1,855.00 / $1,923.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.32 / $1,537.70 / $4,627.42
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
$1,602.00 / $7,500.00 / $14,716.00