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Illinois rates for HCPCS Q4225

Amniobind, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.84 / $1,427.45 / $1,827.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,498.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.28 / $1,570.28 / $1,570.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,683.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.33 / $1,770.04 / $7,241.05
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
$1,855.69 / $1,855.69 / $1,855.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.44 / $1,941.93 / $2,080.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,692.25 / $2,288.69 / $2,288.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,564.97