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Illinois rates for HCPCS 25900

Amputation Forearm Through Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $1,694.18 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.77 / $733.87 / $1,315.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,478.68 / $9,580.08 / $19,184.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.81 / $1,220.73 / $1,488.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.31 / $1,064.00 / $1,544.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.54 / $1,240.51 / $2,959.15
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
$858.18 / $921.52 / $1,024.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,158.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.00 / $6,885.00 / $14,716.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.16 / $959.93 / $1,575.74