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Illinois rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.03 / $1,411.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.82 / $225.33 / $408.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.48 / $2,005.22 / $4,373.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.10 / $314.14 / $468.34
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
$198.00 / $311.61 / $472.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.72 / $379.36 / $1,027.47
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
$226.56 / $244.35 / $352.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $398.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.00 / $1,763.00 / $4,256.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.71 / $318.75 / $521.89