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Illinois rates for HCPCS 28173

Radical Resection Tumor Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $2,118.00 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.73 / $704.98 / $1,405.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,227.81 / $7,557.99 / $16,484.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.15 / $1,165.88 / $1,475.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $3,072.73 / $3,430.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.36 / $978.56 / $1,513.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.47 / $1,194.69 / $3,254.34
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
$876.62 / $913.59 / $978.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,106.53
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
$696.10 / $951.40 / $1,647.33