go back

Illinois rates for HCPCS 63295

Ostpl Rcnstj Dorsal Spi Elmnts Flwg Ispi Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.07 / $1,609.00 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.17 / $4,667.76 / $9,347.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.88 / $598.45 / $1,816.22
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $2,800.00 / $7,384.00