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Illinois rates for HCPCS Q4184

Cellesta Or Cellesta Duo Per Square Centimeter (Desc Rvsd 10/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $618.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $88.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.90 / $1,889.98 / $9,365.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $105.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.03 / $92.05 / $204.18
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
$104.05 / $104.05 / $104.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $40.00 / $117.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $87.75