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Illinois rates for HCPCS 64681

Dstrj Nulyt W/Worad Mntr Suprior Hypogstr Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.11 / $1,486.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.94 / $380.04 / $707.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.63 / $2,255.34 / $4,919.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.39 / $482.40 / $795.77
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
$237.49 / $436.05 / $784.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.38 / $644.97 / $1,490.59
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
$264.19 / $276.70 / $596.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $687.96
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
$396.13 / $602.90 / $1,217.02