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Illinois rates for HCPCS 24920

Amputation Arm Thru Humerus Open Circular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $1,731.05 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.08 / $754.19 / $1,370.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,602.74 / $9,845.44 / $19,715.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.43 / $1,249.24 / $1,520.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.80 / $1,086.44 / $1,554.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.89 / $1,238.54 / $3,060.57
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
$868.75 / $941.58 / $1,048.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,185.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.00 / $6,885.00 / $14,716.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.84 / $945.04 / $1,636.32