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Illinois rates for HCPCS 20957

Bone Graft Microvascular Anast Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $3,221.00 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.48 / $2,818.09 / $5,214.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,198.46 / $36,788.16 / $73,668.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,551.36 / $3,932.56 / $5,702.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,046.57 / $4,588.25 / $9,310.29
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,184.78 / $3,508.66 / $3,901.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,411.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.00 / $6,885.00 / $14,716.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,586.11 / $3,563.60 / $6,196.26