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Illinois rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.98 / $33.92 / $33.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $35.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.27 / $42.06 / $82.19
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
$44.10 / $44.10 / $44.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $40.00 / $49.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $35.99