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Illinois rates for HCPCS 13133

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $1,380.38 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $158.49 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,380.38 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $194.98 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $199.53 / $316.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $239.88 / $676.08
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
$147.91 / $158.49 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $851.14 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $323.59