go back

Illinois rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.49 / $2,095.00 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.62 / $739.49 / $1,342.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,433.27 / $10,202.07 / $17,292.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.50 / $1,223.07 / $1,489.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $6,831.39 / $7,626.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.95 / $1,105.52 / $1,511.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.72 / $1,276.90 / $2,912.07
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
$854.43 / $922.21 / $1,026.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,160.80
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
$667.96 / $973.05 / $1,599.80