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Illinois rates for HCPCS 15774

Grafting Of Autologous Fat By Lipo Ea Addl 25 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.22 / $1,289.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.09 / $1,628.00 / $3,260.07
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
$198.42 / $292.73 / $941.62
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
$204.00 / $900.00 / $3,606.00