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Illinois rates for HCPCS 15005

Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.91 / $1,225.00 / $5,091.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.28 / $1,018.80 / $2,040.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.62 / $177.54 / $575.34
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $963.00 / $3,686.00