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Illinois rates for HCPCS Q4222

ProgenaMatrix, 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 / $144.54 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $208.93 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $151.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $245.47
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
$190.55 / $190.55 / $190.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $223.87 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $134.90 / $181.97