go back

Illinois rates for HCPCS 65130

Insj Oc Implt Sec After Evsc Scll Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.81 / $2,232.00 / $5,405.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.03 / $1,042.65 / $1,498.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,992.33 / $8,957.20 / $19,536.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.58 / $1,062.64 / $1,566.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $1,243.08 / $3,350.68
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
$1,010.01 / $1,011.82 / $1,105.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,249.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $4,803.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.85 / $950.78 / $1,638.40