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Illinois rates for HCPCS 15221

Fth/Gft Fr W/Dir Clsr S/A/L Ea Addl 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.47 / $1,486.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.89 / $107.72 / $241.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.17 / $772.56 / $1,547.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $133.26 / $213.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.75 / $127.62 / $220.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.89 / $176.97 / $506.05
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
$79.52 / $87.54 / $171.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $198.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $963.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.04 / $170.87 / $291.17