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Illinois rates for HCPCS 49906

Free Omental Flap W/Microvascular Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,073.00 / $6,038.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.50 / $2,425.79 / $3,234.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,674.55 / $3,659.92 / $3,659.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $2,588.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.75 / $2,805.55 / $4,574.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.21 / $3,636.46 / $13,915.27
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
$2,600.30 / $2,687.70 / $3,049.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $2,873.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.86 / $2,716.28 / $4,504.50