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Illinois rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.37 / $1,628.51 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.18 / $545.58 / $946.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,856.94 / $6,111.12 / $12,237.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.52 / $768.53 / $906.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.14 / $793.00 / $1,413.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.03 / $805.80 / $3,387.84
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
$541.58 / $616.20 / $665.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $695.79 / $767.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.00 / $2,714.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.99 / $808.77 / $1,139.67