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Illinois rates for HCPCS 28576

Prq Skel Fixj Talotarsal Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.00 / $2,095.00 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.60 / $395.53 / $733.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,975.78 / $8,563.78 / $12,138.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.56 / $665.89 / $809.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $6,831.39 / $7,626.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.35 / $580.39 / $814.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.28 / $675.12 / $1,680.59
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
$472.51 / $501.51 / $558.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $631.98
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
$361.89 / $497.65 / $863.26