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Illinois rates for HCPCS 27516

Closed treatment of distal femoral epiphyseal separation; without manipulation

Facilitymedian $1,549 · 10th–90th $537–$5,6230%10%10th90th$1,549Professionalmedian $617 · 10th–90th $447–$1,0720%10%10th90th$617$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,862.09 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $537.03 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $426.58 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $831.76 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $691.83 / $1,071.52
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $851.14 / $2,238.72
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $630.96 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $691.83 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $588.84 / $1,023.29