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Illinois rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $1,972.00 / $8,743.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,386.02 / $10,202.07 / $17,182.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $6,831.39 / $7,626.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.17 / $1,204.04 / $3,008.05
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $6,920.00 / $14,716.00