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Illinois rates for HCPCS 12042

Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $561.54 / $2,989.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.74 / $270.37 / $556.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $245.69 / $383.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.75 / $1,741.77 / $3,799.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.33 / $335.48 / $512.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.96 / $313.25 / $508.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.24 / $414.87 / $717.24
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
$234.20 / $243.48 / $410.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $463.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.00 / $814.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.57 / $359.49 / $632.96