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Illinois rates for HCPCS 75625

Aortography Abdominal Serialography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.59 / $95.82 / $118.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.02 / $190.55 / $258.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.65 / $65.47 / $110.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.18 / $100.72 / $187.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $89.17 / $89.17
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.22 / $86.63 / $86.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.35 / $162.32 / $289.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.67 / $199.81 / $632.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.33 / $86.91 / $135.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.28 / $98.58 / $539.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.94 / $236.72 / $765.99
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.77 / $117.20 / $415.69
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.79 / $102.48 / $564.15
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
$148.12 / $153.87 / $169.99
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.56 / $86.16 / $93.85
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.69 / $70.56 / $76.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $72.90 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.78 / $216.84 / $508.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.00 / $82.59 / $138.41
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.17 / $112.92 / $326.63