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Illinois rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $1,704.31 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.54 / $747.90 / $1,295.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,564.33 / $9,763.28 / $19,550.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.21 / $1,230.96 / $1,496.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.78 / $1,049.07 / $1,510.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.63 / $1,216.41 / $2,908.44
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
$866.11 / $927.03 / $1,033.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,168.28
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
$671.76 / $913.99 / $1,578.91