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Illinois rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.41 / $1,058.49 / $5,091.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,111.21 / $3,770.65 / $8,224.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $1,378.17 / $1,538.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.09 / $805.64 / $2,046.41
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
$807.00 / $1,763.00 / $4,256.00