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Illinois rates for HCPCS 15274

App Skn Sub Grft T/A/L Area>=100scm Adl 100sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.97 / $1,129.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $66.83 / $130.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.61 / $518.96 / $1,039.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.86 / $83.91 / $134.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.12 / $82.41 / $133.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.69 / $116.89 / $324.60
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
$49.95 / $56.36 / $108.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $125.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $1,032.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.33 / $99.50 / $167.93