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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
$741.31 / $1,995.26 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $562.34 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,630.27 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,122.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $933.25 / $2,344.23
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
$645.65 / $691.83 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,290.87 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,096.48