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Illinois rates for HCPCS 63744

Rplcmt Irrigation/Revj Lumbosarach Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.78 / $2,118.00 / $5,393.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,222.53 / $9,379.92 / $16,801.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $8,368.20 / $9,342.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.75 / $1,241.20 / $3,645.06
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
$2,100.00 / $5,820.00 / $12,241.00