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Illinois rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.55 / $1,568.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.09 / $181.63 / $324.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.09 / $1,494.17 / $2,767.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.91 / $232.16 / $344.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $929.98 / $1,038.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.34 / $212.26 / $348.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.50 / $297.66 / $876.42
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
$151.63 / $157.82 / $256.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $289.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.00 / $1,900.00 / $4,256.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.90 / $244.10 / $409.06