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Illinois rates for HCPCS 15261

Fth/Gft Free W/Dir Clsr N/E/E/L Ea Addl 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.76 / $1,568.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.56 / $174.73 / $385.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.94 / $1,497.20 / $2,998.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.97 / $233.29 / $343.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.57 / $218.83 / $361.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.32 / $287.39 / $1,057.29
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
$157.52 / $169.31 / $275.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $317.48
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
$185.39 / $263.79 / $446.78