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Illinois rates for HCPCS 64897

Nerve Graft Mlt Strands Arm/Leg <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.00 / $2,401.56 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.80 / $1,284.85 / $2,401.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,677.08 / $13,451.81 / $29,340.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.54 / $2,081.17 / $2,381.98
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
$1,268.10 / $1,868.31 / $2,729.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.71 / $2,129.87 / $5,380.20
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
$1,472.22 / $1,619.20 / $1,801.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,036.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,978.00 / $12,442.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.86 / $1,797.32 / $2,859.74