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Illinois rates for HCPCS 28605

Closed Tx Tarsometatarsal Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.00 / $1,159.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.82 / $322.97 / $600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.07 / $3,334.86 / $7,273.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.26 / $521.66 / $703.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.87 / $280.07 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.98 / $454.69 / $647.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.15 / $536.54 / $894.35
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
$377.36 / $392.22 / $486.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $550.55
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
$280.31 / $401.90 / $717.65