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Illinois rates for HCPCS 11104

Punch biopsy of skin (including simple closure, when performed); single lesion

Facilitymedian $708 · 10th–90th $66–$4,6770%5%10th90th$708Professionalmedian $132 · 10th–90th $46–$3310%10%10th90th$132$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $707.95 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $134.90 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $128.82 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $588.84 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $120.23 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $114.82 / $213.80
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $173.78 / $371.54
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $58.88 / $162.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $724.44 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $100.00 / $218.78