go back

Illinois rates for HCPCS 25365

Osteotomy Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $2,095.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.03 / $943.05 / $1,714.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,479.31 / $17,219.73 / $23,740.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.61 / $1,557.86 / $1,896.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $12,907.00 / $14,409.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.93 / $1,357.85 / $1,991.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.38 / $1,581.44 / $3,799.45
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
$1,081.83 / $1,174.78 / $1,307.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,478.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.55 / $1,263.51 / $2,046.60