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Illinois rates for HCPCS 61623

Evasc Temp Balloon Artl Occlusion Head/Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.00 / $2,846.00 / $7,723.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,035.32 / $13,554.68 / $19,269.27
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
$643.27 / $1,023.38 / $3,172.60
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
$2,276.00 / $8,141.00 / $21,651.00