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Illinois rates for HCPCS 65875

Severing Ads Ant Seg Incal Spx Post Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $2,800.00 / $5,580.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.39 / $6,592.66 / $14,379.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.38 / $949.05 / $2,226.13
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $3,951.00 / $6,625.00