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Illinois rates for HCPCS 15040

Harvest Skin Tissue Cltr Skin Agrft 100 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.47 / $1,568.00 / $5,091.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.27 / $2,192.85 / $3,241.05
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
$160.99 / $363.23 / $885.60
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
$1,183.00 / $2,622.00 / $5,026.00