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Illinois rates for HCPCS 15150

Cltr Skin Autograft T/A/L 1st 25 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.71 / $1,630.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.49 / $624.71 / $1,274.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.01 / $6,085.85 / $13,274.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.48 / $910.84 / $1,354.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.16 / $1,118.26 / $2,750.78
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
$733.56 / $824.72 / $1,008.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,163.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.00 / $2,465.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.37 / $925.76 / $1,585.90