go back

Illinois rates for HCPCS 15958

Exc Trchntric Pr Ulc Musc/Myoq Flap/Skin W/Ostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.89 / $2,824.00 / $5,580.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,945.02 / $10,938.98 / $23,859.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.42 / $1,889.20 / $5,199.88
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