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Illinois rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.23 / $1,771.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.33 / $590.85 / $1,139.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,878.08 / $5,593.82 / $11,195.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.75 / $797.52 / $1,282.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $3,072.73 / $3,430.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.79 / $755.67 / $1,172.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.34 / $934.74 / $1,631.70
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
$589.34 / $613.98 / $871.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $985.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,671.00 / $6,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.28 / $784.52 / $1,432.22