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Illinois rates for HCPCS 25630

Cltx Carpal Bone Fx W/O Manj Each Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.77 / $849.00 / $4,634.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$220.08 / $384.18 / $465.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.52 / $314.77 / $558.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.07 / $3,145.91 / $6,861.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.58 / $490.30 / $638.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.87 / $250.87 / $280.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.45 / $427.35 / $625.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.75 / $497.46 / $1,055.11
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
$353.74 / $369.54 / $440.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $498.42
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
$272.23 / $395.64 / $685.00