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Illinois rates for HCPCS 25375

Mlt Osteotomies W/Relignmt Imed Rod Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.35 / $2,758.00 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.60 / $980.35 / $1,786.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,464.57 / $10,510.16 / $22,923.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $3,072.73 / $3,430.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.05 / $1,422.74 / $1,995.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.04 / $1,646.13 / $4,503.93
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
$1,123.98 / $1,222.48 / $1,360.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,538.68
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
$895.49 / $1,264.59 / $2,129.06