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Illinois rates for HCPCS 64865

Suture Facial Nerve Infratemporal W/Wo Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.34 / $2,758.00 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.88 / $1,078.34 / $2,029.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,677.08 / $11,977.03 / $24,624.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.84 / $1,714.67 / $1,988.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $7,619.73 / $8,506.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.57 / $1,540.97 / $2,302.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.53 / $1,796.04 / $5,313.53
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
$1,276.16 / $1,351.47 / $1,483.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,677.95
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
$1,040.46 / $1,533.20 / $2,423.46