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Illinois rates for HCPCS Q4162

Woundex Flow Bioskin Flow 0.5 Cc (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $1,760.00 / $2,310.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.00 / $1,760.00 / $1,870.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,527.60 / $11,233.84 / $31,748.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $2,338.36 / $2,953.16
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
$2,200.00 / $2,200.00 / $2,334.19