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Illinois rates for HCPCS 65125

Modificaj Oc Implt W/Plmt/Rplcmt Pegs Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.46 / $1,072.33 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.94 / $464.22 / $794.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,788.44 / $3,684.47 / $6,649.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $996.00 / $1,033.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.57 / $464.18 / $788.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $584.70 / $1,635.32
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
$353.47 / $354.51 / $584.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $661.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $3,951.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.47 / $548.14 / $949.82