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Illinois rates for HCPCS 25000

Incision Extensor Tendon Sheath Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.30 / $2,232.00 / $5,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $379.08 / $1,016.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.74 / $482.13 / $508.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.23 / $3,766.97 / $8,216.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.67 / $583.07 / $710.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $1,631.14 / $1,820.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.34 / $508.21 / $729.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.27 / $592.24 / $1,802.86
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
$423.25 / $439.95 / $489.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $557.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,751.00 / $6,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.36 / $449.66 / $851.12