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Illinois rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.55 / $553.94 / $1,312.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $581.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.66 / $280.66 / $294.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $653.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.15 / $637.03 / $1,055.26
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
$720.12 / $720.12 / $720.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $40.00 / $364.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.24 / $553.94 / $607.30