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Illinois rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.03 / $1,451.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.98 / $740.03 / $1,344.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,295.45 / $7,933.73 / $17,304.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $3,072.73 / $3,430.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.70 / $1,064.94 / $1,530.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.12 / $1,214.51 / $3,006.24
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
$854.46 / $923.31 / $1,027.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,162.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $4,803.00 / $8,821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.61 / $940.88 / $1,603.00