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Illinois rates for HCPCS 15116

Epidermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.67 / $1,225.00 / $5,091.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.68 / $1,612.16 / $3,228.35
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
$151.90 / $247.41 / $628.95
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