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Illinois rates for HCPCS 29058

Application, cast; plaster Velpeau

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.22 / $177.22 / $228.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $113.58 / $197.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.81 / $429.24 / $1,738.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.50 / $143.50 / $160.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.21 / $154.47 / $234.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.24 / $190.04 / $452.66
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
$110.76 / $120.24 / $176.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $199.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $843.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.59 / $151.32 / $269.50