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Illinois rates for HCPCS 15734

Musc Myocutaneous/Fasciocutaneous Flap Trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $2,585.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.49 / $1,510.34 / $3,399.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,037.47 / $14,066.43 / $30,680.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.91 / $2,199.73 / $2,646.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.74 / $1,992.99 / $2,944.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.78 / $2,470.62 / $7,783.56
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
$1,735.73 / $1,920.95 / $2,141.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,470.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.00 / $5,000.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.09 / $1,993.13 / $3,442.67