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Illinois rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.00 / $2,585.00 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.34 / $1,393.29 / $2,609.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,303.69 / $14,586.97 / $31,816.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.87 / $2,257.81 / $2,584.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $6,011.78 / $6,711.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.68 / $2,029.09 / $2,960.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.18 / $2,327.92 / $7,284.71
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
$1,596.48 / $1,756.68 / $1,953.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,209.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.84 / $1,918.58 / $3,105.50