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Illinois rates for HCPCS 64605

Dstrj Neurolytic Trigeminal Nrv 2/3 Div Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.01 / $1,272.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.48 / $565.89 / $1,004.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.94 / $3,786.23 / $8,169.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.51 / $976.52 / $1,610.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $1,799.73 / $2,009.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.22 / $752.40 / $1,486.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.57 / $1,221.35 / $2,665.83
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
$472.56 / $565.02 / $1,246.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,409.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,751.00 / $6,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.73 / $852.67 / $1,341.83