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Illinois rates for HCPCS 75635

Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.32 / $186.60 / $219.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.20 / $414.14 / $589.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.37 / $122.79 / $378.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.48 / $289.61 / $388.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.28 / $310.35 / $395.81
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.68 / $104.45 / $153.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.99 / $446.83 / $926.76
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$148.54 / $148.54 / $148.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.88 / $614.74 / $996.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.84 / $153.18 / $232.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.11 / $457.09 / $806.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.01 / $701.50 / $2,225.54
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.33 / $193.19 / $896.91
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$339.66 / $516.48 / $1,422.33
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
$492.00 / $503.30 / $543.65
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.33 / $139.53 / $147.50
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$352.46 / $367.97 / $396.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $154.31 / $402.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.18 / $615.74 / $969.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.59 / $146.84 / $246.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$315.98 / $445.14 / $763.17