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Illinois rates for HCPCS 20663

Application Halo Femoral Including Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.00 / $1,972.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.18 / $489.67 / $870.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,878.08 / $5,721.12 / $11,450.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.16 / $813.30 / $989.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $3,072.73 / $3,430.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.28 / $682.62 / $997.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.28 / $801.41 / $2,491.92
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
$576.64 / $612.85 / $682.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $771.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,530.00 / $8,566.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.69 / $593.41 / $1,039.50