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Illinois rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.18 / $1,169.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.41 / $505.33 / $951.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,202.15 / $5,417.62 / $11,816.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.08 / $839.45 / $1,021.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $1,631.14 / $1,820.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.90 / $713.92 / $1,029.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.17 / $829.23 / $2,026.49
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
$597.13 / $632.33 / $704.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $796.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.00 / $2,465.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.98 / $625.49 / $1,064.35