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Illinois rates for HCPCS 61702

Simple Intracranial Arysm Vertebrobasilar Crcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $4,439.88 / $7,862.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,459.46 / $4,439.88 / $8,657.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,460.64 / $56,600.32 / $113,342.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,249.39 / $7,221.28 / $12,080.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.44 / $6,489.75 / $8,824.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,468.56 / $6,848.09 / $16,043.87
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
$4,376.24 / $5,395.47 / $6,249.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $7,210.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,226.09 / $6,339.14 / $10,928.05