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Illinois rates for HCPCS 64809

Sympathectomy Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,119.36 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.00 / $1,195.89 / $2,119.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,127.24 / $15,245.44 / $30,528.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.59 / $1,948.26 / $2,147.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.90 / $1,621.20 / $2,244.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.96 / $1,886.16 / $4,823.43
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
$1,217.07 / $1,460.00 / $1,686.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,906.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $2,800.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.72 / $1,277.04 / $2,529.61