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Illinois rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $2,095.00 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.71 / $661.69 / $1,134.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,202.15 / $7,093.82 / $15,472.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $1,631.14 / $1,820.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $911.01 / $1,264.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.80 / $1,070.92 / $2,084.44
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
$768.76 / $817.64 / $911.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,030.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,751.00 / $6,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.97 / $763.60 / $1,362.15