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Illinois rates for HCPCS 39540

Repair, diaphragmatic hernia (other than neonatal), traumatic; acute

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,090.30 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $11,481.54 / $21,877.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $4,168.69
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
$575.44 / $2,884.03 / $7,413.10