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Illinois rates for HCPCS 20924

Tendon Graft From A Distance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $2,755.00 / $6,180.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,153.02 / $9,457.39 / $13,180.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $6,831.39 / $7,626.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.64 / $845.30 / $2,198.54
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
$1,600.00 / $4,530.00 / $8,566.00