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Illinois rates for HCPCS 25909

Amputation, forearm, through radius and ulna; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,570.40 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $10,471.29 / $15,488.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $1,445.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,230.27 / $3,019.95
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
$812.83 / $870.96 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,265.80 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,479.11