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Illinois rates for HCPCS 15131

Dermal Autograft Trunk/Arm/Leg Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.38 / $1,225.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $85.20 / $177.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.51 / $1,010.72 / $2,023.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.22 / $126.42 / $186.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $157.63 / $433.76
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
$103.60 / $114.23 / $137.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $158.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $916.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.19 / $129.81 / $220.77