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Illinois rates for HCPCS 13121

Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,584.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $407.38 / $1,000.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $346.74 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $707.95 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $436.52 / $776.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $562.34 / $1,288.25
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
$309.03 / $323.59 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $758.58 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $446.68 / $758.58