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Illinois rates for HCPCS 71275

Ct Angiography Chest W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.56 / $138.19 / $169.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.50 / $392.89 / $709.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.98 / $111.00 / $375.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.48 / $292.36 / $403.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.35 / $250.14 / $316.85
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.17 / $80.26 / $117.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.34 / $221.27 / $221.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.28 / $332.84 / $638.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.93 / $118.93 / $118.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $435.00 / $767.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.06 / $117.88 / $180.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.50 / $306.23 / $590.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.11 / $496.37 / $2,131.42
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.78 / $148.44 / $585.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.19 / $340.29 / $1,545.99
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.73 / $345.55 / $373.74
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.08 / $107.26 / $113.52
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.47 / $241.48 / $260.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $115.51 / $368.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.23 / $469.14 / $755.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.65 / $118.05 / $183.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.54 / $348.03 / $545.04