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Illinois rates for HCPCS 25145

Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,187.76 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,897.79 / $11,748.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $794.33 / $1,122.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,000.00 / $2,290.87
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
$630.96 / $676.08 / $741.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,365.16 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $1,148.15