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Illinois rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.66 / $129.66 / $129.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $129.66 / $137.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.74 / $264.89 / $345.40
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 / $238.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $171.97