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Illinois rates for HCPCS Q4218

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $120.23 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $123.03 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $208.93 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $346.74
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
$30.20 / $30.20 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $141.25 / $151.36