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Illinois rates for HCPCS 63290

Lam Bx/Exc Ispi Neo Xdrl-Idrl Les Any Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,636.00 / $6,886.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.17 / $3,078.24 / $5,538.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,345.59 / $39,241.92 / $78,581.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,742.22 / $4,322.04 / $6,275.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,174.01 / $4,961.20 / $13,032.49
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
$3,056.46 / $3,745.77 / $4,335.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,902.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.00 / $7,842.00 / $21,651.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.06 / $3,904.39 / $6,661.97