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Illinois rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.23 / $2,118.00 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.48 / $721.21 / $1,382.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,641.66 / $15,424.52 / $23,011.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.21 / $1,259.99 / $1,533.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $16,359.18 / $18,263.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.60 / $1,138.90 / $1,571.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.34 / $1,314.97 / $3,085.92
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
$877.24 / $949.70 / $1,057.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,195.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,978.00 / $13,715.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.41 / $1,029.04 / $1,648.70