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Illinois rates for HCPCS 15200

Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.24 / $1,842.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.10 / $750.33 / $1,395.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.01 / $6,159.30 / $13,434.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.04 / $990.51 / $1,428.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.69 / $948.40 / $1,476.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.62 / $1,219.79 / $2,422.48
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
$795.09 / $846.59 / $1,149.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,326.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $3,951.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.62 / $1,020.58 / $1,810.91