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Illinois rates for HCPCS 63706

Repair Myelomeningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,392.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.02 / $2,032.64 / $4,032.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,114.04 / $25,912.40 / $51,889.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.28 / $2,825.14 / $4,137.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,095.59 / $3,242.68 / $7,320.75
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
$2,059.06 / $2,479.69 / $2,864.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,239.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $2,800.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.86 / $2,482.32 / $4,324.34