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Illinois rates for HCPCS 25676

Open Tx Distal Radioulnar Dislc Acute/Chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.53 / $1,835.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,488.75 / $9,912.20 / $15,094.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $6,831.39 / $7,626.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.62 / $1,060.97 / $2,850.49
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
$1,499.00 / $3,751.00 / $6,514.00