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Illinois rates for HCPCS 63663

Revj Incl Rplcmt Nstim Eltrd Prq Ra Incl Fluor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.00 / $1,421.64 / $5,519.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,391.77 / $8,551.62 / $11,972.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $3,082.00 / $10,223.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.82 / $1,286.88 / $2,986.16
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
$2,537.00 / $6,885.00 / $14,716.00