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Illinois rates for HCPCS G0428

Collagen Implant Procedure For Filling Meniscal Defects (E.G. Cmi Collagen Scaffold Menaflex)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.20 / $3,073.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.20 / $805.20 / $805.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.54 / $127.78 / $233.33
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
$144.44 / $146.77 / $159.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $2,800.00 / $7,384.00