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Illinois rates for HCPCS Q4111

Gammagraft Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.49 / $7.87 / $14.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $8.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $24.21 / $97.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $7.87 / $7.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $9.99 / $19.07
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
$10.23 / $10.23 / $10.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $10.64 / $11.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $8.35