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Illinois rates for HCPCS 64585

Revj/Rmvl Perph Neurostimulator Electrode Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.25 / $1,289.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.67 / $225.90 / $409.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.44 / $3,061.14 / $5,843.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.43 / $265.31 / $424.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $3,783.28 / $4,223.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.10 / $249.47 / $432.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.85 / $344.44 / $1,243.26
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
$171.24 / $180.35 / $319.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $361.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,530.00 / $8,566.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.14 / $370.51 / $622.13