go back

Illinois rates for HCPCS 62304

Myelography Via Lumbar Inject Rs&I Lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.85 / $849.00 / $3,636.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.66 / $212.53 / $393.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $210.20 / $227.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.05 / $699.16 / $1,957.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.99 / $264.88 / $436.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.53 / $243.66 / $447.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.06 / $370.14 / $877.25
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
$138.58 / $145.93 / $326.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $369.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $1,905.00 / $4,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.85 / $329.23 / $532.79