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Illinois rates for HCPCS 15740

Flap Island Pedicle Anatomic Named Axial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.00 / $1,701.95 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.14 / $946.36 / $2,006.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.01 / $7,635.25 / $16,653.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.47 / $1,429.85 / $1,734.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.15 / $1,202.94 / $1,849.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.67 / $1,467.15 / $3,020.58
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
$999.09 / $1,059.24 / $1,391.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,573.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $2,622.00 / $5,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.47 / $1,239.46 / $2,144.67