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Illinois rates for HCPCS 25119

Synvct Xtnsr Tdn Shth Wrst 1 Rescj Dstl Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $2,095.00 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.06 / $515.79 / $926.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,889.58 / $5,918.93 / $12,074.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.91 / $855.82 / $1,041.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $3,072.73 / $3,430.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.65 / $759.75 / $1,081.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.96 / $867.93 / $2,348.85
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
$603.97 / $644.75 / $718.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $812.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,530.00 / $8,566.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.06 / $653.80 / $1,087.99