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Illinois rates for HCPCS Q4128

FlexHD, or AllopatchHD, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $5,163.42 / $9,973.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $31.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.70 / $27.70 / $31.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $41.87 / $76.30
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
$38.88 / $38.88 / $38.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.59 / $36.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $31.73