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Illinois rates for HCPCS 28755

Arthrodesis Great Toe Interphalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.13 / $1,264.51 / $6,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.55 / $7,338.10 / $12,138.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $6,831.39 / $7,626.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.34 / $726.31 / $1,518.50
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,751.00 / $6,514.00