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Illinois rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.21 / $930.00 / $4,634.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$93.72 / $169.83 / $246.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.40 / $137.55 / $250.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.07 / $1,339.68 / $2,922.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.76 / $208.46 / $288.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.99 / $196.99 / $219.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.52 / $190.16 / $276.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.13 / $219.73 / $493.42
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
$156.05 / $158.19 / $197.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $223.63
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
$129.31 / $175.38 / $307.68