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Illinois rates for HCPCS 35903

Excision Infected Graft Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.60 / $1,842.00 / $7,914.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,773.17 / $5,741.78 / $11,796.02
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
$588.37 / $944.21 / $2,528.02
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
$1,152.00 / $5,000.00 / $8,995.00