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Illinois rates for HCPCS 15771

Grafting Of Autologous Fat By Lipo 50 Cc Or Less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.69 / $2,624.18 / $9,691.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,671.32 / $5,533.59 / $10,214.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.87 / $949.08 / $2,341.69
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $4,803.00 / $8,995.00