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Illinois rates for HCPCS 31614

Tracheostoma Revj Cplx W/Flap Rotation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.11 / $1,842.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,419.22 / $8,980.23 / $16,932.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.31 / $1,172.82 / $2,716.48
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 / $5,978.00 / $12,241.00