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Illinois rates for HCPCS 25105

Arthrotomy Wrist Joint With Synovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $2,747.00 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,878.08 / $5,823.10 / $11,670.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $3,072.73 / $3,430.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.89 / $844.45 / $2,743.64
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