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Illinois rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.77 / $1,379.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.13 / $547.77 / $985.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,202.15 / $5,872.52 / $12,808.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.50 / $910.55 / $1,107.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $1,631.14 / $1,820.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.57 / $781.67 / $1,143.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.28 / $902.37 / $2,243.81
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
$640.46 / $686.01 / $764.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $864.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.00 / $2,588.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.89 / $686.63 / $1,174.84