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Illinois rates for HCPCS 15750

Flap Neurovascular Pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.21 / $1,882.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,770.33 / $8,535.87 / $18,617.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.68 / $1,518.68 / $4,652.12
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.00 / $5,000.00 / $8,995.00