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Illinois rates for HCPCS 64605

Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $630.96 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,951.21 / $7,585.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $977.24 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $741.31 / $1,479.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,258.93 / $2,754.23
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
$467.74 / $562.34 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,548.13 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $616.60 / $1,122.02