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Illinois rates for HCPCS 25101

Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.24 / $2,095.00 / $5,393.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,878.08 / $5,361.80 / $9,676.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $3,072.73 / $3,430.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.96 / $690.76 / $2,242.00
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
$1,600.00 / $4,530.00 / $8,566.00