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Illinois rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.00 / $2,157.00 / $5,405.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.20 / $611.77 / $1,195.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,375.72 / $6,653.71 / $13,335.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.15 / $961.19 / $1,166.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.57 / $888.70 / $1,284.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.74 / $1,078.08 / $3,205.56
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
$800.87 / $846.79 / $935.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,079.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.00 / $5,000.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.80 / $825.01 / $1,463.65