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Illinois rates for HCPCS 64763

Trnsxj/Avlsn Obturat Nrv Xpelv W/Wo Tenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $1,609.00 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.82 / $535.91 / $964.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,585.21 / $5,610.78 / $12,237.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.16 / $868.35 / $983.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $1,799.73 / $2,009.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.52 / $771.58 / $1,098.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.96 / $879.61 / $2,129.73
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
$595.74 / $668.71 / $751.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $849.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.00 / $2,588.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.63 / $680.27 / $1,170.43