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Illinois rates for HCPCS 24930

Amputation Arm Thru Humerus Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.63 / $1,825.15 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.50 / $794.63 / $1,450.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,849.54 / $10,373.36 / $20,772.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.19 / $1,316.66 / $1,509.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.22 / $1,147.61 / $1,638.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.59 / $1,305.85 / $3,230.80
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
$914.89 / $992.76 / $1,105.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,249.63
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
$726.26 / $998.88 / $1,728.00