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Illinois rates for HCPCS 15111

Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,862.09 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,174.90 / $2,290.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $190.55 / $512.86
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
$151.36 / $851.14 / $2,630.27