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Illinois rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $1,694.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.91 / $750.76 / $1,466.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,388.71 / $7,098.26 / $15,090.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.90 / $1,218.64 / $1,484.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.57 / $1,061.44 / $1,601.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.22 / $1,334.39 / $3,298.41
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
$900.29 / $949.22 / $1,186.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,368.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.00 / $5,000.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.12 / $1,122.33 / $1,882.04