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Illinois rates for HCPCS 64569

Revision/Replmt Neurostimlator Eltrd Cranial Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $1,731.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,039.29 / $15,713.16 / $22,358.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $22,142.58 / $24,719.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.72 / $1,376.04 / $4,178.39
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
$2,575.00 / $7,612.00 / $14,468.00