go back

Illinois rates for HCPCS 67570

Optic Nerve Decompression

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.00 / $2,933.00 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.84 / $1,659.38 / $2,234.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.88 / $13,343.40 / $29,103.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.84 / $2,013.72 / $2,197.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.92 / $1,623.66 / $2,410.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.27 / $1,886.88 / $5,299.50
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
$1,503.76 / $1,512.16 / $1,649.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,864.68
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
$1,132.17 / $1,528.94 / $2,695.63