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Illinois rates for HCPCS 64822

Sympathectomy Ulnar Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.64 / $1,694.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.95 / $708.64 / $1,294.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,223.35 / $7,419.10 / $16,182.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.16 / $1,150.82 / $1,315.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $3,072.73 / $3,430.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.15 / $1,015.95 / $1,459.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.41 / $1,176.50 / $2,826.45
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
$829.39 / $894.41 / $995.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,126.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,530.00 / $8,566.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.65 / $940.68 / $1,544.06