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Illinois rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $3,090.30 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $3,019.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $18,620.87 / $30,902.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,949.84 / $2,884.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,398.83 / $6,025.60
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
$1,621.81 / $1,778.28 / $1,949.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $7,244.36 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $2,951.21