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Illinois rates for HCPCS Q4101

Apligraf Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $53.21 / $2,248.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $42.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.69 / $106.00 / $392.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $34.36 / $37.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $39.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.98 / $42.32 / $90.54
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
$39.29 / $39.29 / $39.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.34 / $42.50 / $45.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $33.14