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Illinois rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.89 / $1,767.03 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.54 / $809.37 / $1,658.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.01 / $6,379.79 / $13,915.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.91 / $1,032.66 / $1,477.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.13 / $1,012.29 / $1,578.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.24 / $1,261.90 / $2,501.59
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
$845.91 / $886.74 / $1,182.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,364.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $2,622.00 / $5,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.56 / $1,067.94 / $1,882.57