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Illinois rates for HCPCS 19364

Breast Reconstruction W/Free Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.00 / $3,636.00 / $7,125.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,185.36 / $7,185.36 / $7,185.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,566.45 / $50,409.52 / $100,945.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $11,310.00 / $14,224.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,923.17 / $4,553.67 / $22,383.68
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
$1,300.00 / $5,951.00 / $12,241.00