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Illinois rates for HCPCS 25116

Rad Exc Bursa Synva Wrst/F/Arm Tdn Shths Xtnsrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $2,921.10 / $5,580.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,889.58 / $6,598.97 / $14,393.19
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
$713.83 / $1,070.75 / $3,314.11
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 / $3,493.00 / $6,482.00