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Illinois rates for HCPCS 12016

Simple Repair F/E/E/N/L/M 12.6cm-20.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.93 / $941.00 / $4,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.76 / $1,213.93 / $2,647.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.56 / $326.31 / $1,030.18
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $1,032.00 / $3,686.00