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Illinois rates for HCPCS 28102

Exc/Curtg Cst/B9 Tum Talus/Clcns W/Iliac/Agrft

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
$519.73 / $627.17 / $1,229.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,304.26 / $9,829.73 / $14,665.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.48 / $1,040.50 / $1,265.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $9,797.29 / $10,937.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.49 / $904.58 / $1,273.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.38 / $1,027.83 / $2,176.80
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
$729.57 / $783.97 / $873.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $987.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $7,253.00 / $14,468.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.49 / $747.62 / $1,348.64