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Illinois rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,288.25 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $7,585.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $812.83 / $2,290.87
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
$741.31 / $1,513.56 / $4,168.69