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Illinois rates for HCPCS 20969

Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $4,466.84 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $12,589.25 / $60,255.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,570.88 / $14,454.40
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 / $5,370.32 / $12,302.69