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Illinois rates for HCPCS 12011

Simple Repair F/E/E/N/L/M 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.35 / $321.08 / $855.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.31 / $107.81 / $393.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.05 / $519.35 / $1,132.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.84 / $118.34 / $189.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.92 / $118.53 / $209.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.72 / $161.63 / $454.48
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
$63.61 / $72.15 / $153.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $173.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $1,032.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.90 / $154.34 / $241.97