go back

Illinois rates for HCPCS 15958

Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,548.13 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,495.41 / $22,387.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,862.09 / $5,495.41
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
$1,862.09 / $4,365.16 / $9,332.54