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Illinois rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.13 / $1,816.85 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.90 / $812.13 / $1,370.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,295.45 / $8,706.69 / $18,990.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $3,072.73 / $3,430.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.20 / $1,137.57 / $1,576.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.39 / $1,299.92 / $2,807.03
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
$943.22 / $988.25 / $1,102.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,246.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,671.00 / $6,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.51 / $977.27 / $1,654.22