go back

Illinois rates for HCPCS 75574

Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.07 / $187.64 / $221.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.95 / $364.49 / $750.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.31 / $134.80 / $322.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.16 / $235.21 / $388.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.21 / $253.49 / $311.64
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.38 / $136.96 / $167.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.83 / $382.64 / $733.51
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.84 / $140.84 / $140.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.61 / $502.66 / $857.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.81 / $150.44 / $226.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$210.00 / $331.71 / $625.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.47 / $550.29 / $2,001.52
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.08 / $194.53 / $765.89
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$226.20 / $323.07 / $1,008.46
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
$389.40 / $396.11 / $428.38
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.80 / $140.49 / $148.37
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$237.99 / $248.91 / $279.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $155.22 / $448.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.92 / $556.22 / $909.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.54 / $147.54 / $245.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.40 / $387.26 / $656.66