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Illinois rates for HCPCS 25500

Closed Tx Radial Shaft Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.54 / $755.00 / $4,200.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$198.59 / $341.81 / $421.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.28 / $267.82 / $482.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.11 / $362.11 / $362.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.07 / $2,838.69 / $6,191.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.19 / $444.13 / $593.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.87 / $250.87 / $280.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.69 / $387.11 / $552.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.06 / $450.59 / $921.65
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
$322.33 / $334.72 / $409.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $462.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.84 / $340.59 / $600.79