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Illinois rates for HCPCS 14001

Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,905.46 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $812.83 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,235.94 / $12,302.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $954.99 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $954.99 / $1,548.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $2,818.38
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
$776.25 / $831.76 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,290.87 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,513.56