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Illinois rates for HCPCS 61703

Icra Crv Appl Occluding Clamp Crv Crtd Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,659.76 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.30 / $1,494.65 / $2,659.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,907.78 / $19,054.08 / $38,155.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,109.33 / $2,437.37 / $4,077.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.53 / $2,190.46 / $2,926.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.43 / $2,433.84 / $7,019.87
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
$1,512.38 / $1,825.24 / $2,109.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,433.84
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
$1,414.35 / $2,138.89 / $3,228.74