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Illinois rates for HCPCS 27759

Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage

Facilitymedian $5,129 · 10th–90th $1,202–$16,9820%5%10th90th$5,129Professionalmedian $1,660 · 10th–90th $1,072–$5,0120%10%10th90th$1,660$100.0$500.0$2.0K$10.0K$50.0K

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
$1,202.26 / $5,011.87 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $18,620.87 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $16,982.44
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,659.59 / $5,011.87
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $8,912.51 / $16,982.44