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Illinois rates for HCPCS 13120

Repair Complex Scalp/Arm/Leg 1.1-2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.47 / $1,486.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.59 / $301.75 / $601.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.54 / $163.54 / $163.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.29 / $2,077.76 / $4,531.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.41 / $393.53 / $585.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.07 / $360.78 / $602.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.77 / $474.27 / $903.47
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
$274.20 / $285.61 / $469.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $541.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.00 / $814.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.42 / $437.90 / $753.69