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Illinois rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.00 / $718.00 / $1,857.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $718.00 / $762.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.58 / $1,107.75 / $7,336.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $994.15 / $1,255.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $40.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $2,078.00