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Illinois rates for HCPCS 95864

Ndl Emg 4 Xtr W/Wo Related Paraspinal Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.10 / $166.66 / $166.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.41 / $220.50 / $317.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.74 / $215.47 / $359.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.15 / $118.15 / $118.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.68 / $305.95 / $481.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.23 / $314.51 / $1,260.41
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.51 / $154.43 / $723.70
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.86 / $263.77 / $288.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $85.30 / $284.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.13 / $281.89 / $524.78