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Illinois rates for HCPCS 35884

Revj Fem Anast Bpg Grn Opn W/Autog Vn Patch Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,824.00 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.39 / $1,543.87 / $2,422.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,833.01 / $11,254.38 / $26,181.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.86 / $1,838.76 / $2,302.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.31 / $1,884.35 / $3,106.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.46 / $2,119.73 / $5,799.59
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
$1,348.26 / $1,605.14 / $1,801.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,036.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.00 / $7,500.00 / $14,716.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.84 / $1,922.44 / $3,127.68