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Illinois rates for HCPCS 25107

Arthrotomy Dstl Radioulnar Joint Rpr Cartilage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $2,118.00 / $5,393.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,889.58 / $6,743.90 / $14,709.31
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
$711.23 / $1,036.54 / $2,939.23
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 / $4,803.00 / $8,995.00