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Illinois rates for HCPCS 69717

Rplcmt Oi Implt Skull Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,636.00 / $10,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.12 / $788.21 / $2,056.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,393.57 / $9,457.39 / $13,466.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.27 / $888.78 / $1,011.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.00 / $6,643.00 / $15,148.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.75 / $923.75 / $2,020.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.36 / $969.32 / $4,717.62
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
$664.13 / $700.06 / $769.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $888.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.00 / $5,957.42 / $11,479.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.63 / $1,538.33 / $2,448.92