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Illinois rates for HCPCS 64772

Transection/Avulsion Oth Spinal Nrv Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.00 / $1,671.86 / $4,634.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,687.00 / $5,946.17 / $12,969.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $1,799.73 / $2,009.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.09 / $928.64 / $2,559.25
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,751.00 / $6,514.00