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Illinois rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.00 / $1,544.00 / $4,634.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,202.15 / $7,246.64 / $15,805.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $1,631.14 / $1,820.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.98 / $1,344.92 / $2,685.69
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00