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Illinois rates for HCPCS Q4148

Neox Cord 1k Neox Cord Rt Or Clarix Cord 1k Persquare Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.30 / $123.80 / $283.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $135.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.45 / $902.20 / $4,470.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $163.51
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.38 / $173.32 / $575.50
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
$160.94 / $160.94 / $160.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $40.00 / $188.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $139.88