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Illinois rates for HCPCS 28430

Closed Tx Talus Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.85 / $973.00 / $4,634.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$159.77 / $285.44 / $343.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.64 / $225.67 / $412.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.07 / $2,283.86 / $4,981.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.06 / $355.46 / $490.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.87 / $250.87 / $280.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.31 / $327.45 / $481.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.87 / $375.31 / $867.61
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
$260.94 / $269.19 / $337.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $381.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.84 / $301.79 / $512.24