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Illinois rates for HCPCS 25624

Closed Tx Carpal Scaphoid Fracture W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $1,486.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.75 / $457.97 / $837.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,202.15 / $4,909.82 / $10,708.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.22 / $763.59 / $1,018.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $1,631.14 / $1,820.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.80 / $665.55 / $963.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.60 / $773.55 / $1,682.07
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
$547.03 / $574.64 / $703.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $801.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.00 / $1,753.00 / $4,256.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.33 / $597.01 / $1,048.26