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Illinois rates for HCPCS 25905

Amp Forearm Thru Radius & Ulna Open Circular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $1,655.70 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.77 / $721.87 / $1,309.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,405.49 / $9,423.52 / $18,870.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.85 / $1,194.50 / $1,454.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.41 / $1,068.58 / $1,486.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.85 / $1,212.74 / $2,665.77
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
$832.96 / $900.59 / $1,002.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,133.69
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
$662.90 / $917.22 / $1,561.27