go back

Illinois rates for HCPCS 69726

Removal Entire Oi Implt Skl Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $1,848.00 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.11 / $425.92 / $796.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,781.32 / $5,445.42 / $10,656.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.01 / $751.75 / $855.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.25 / $676.15 / $879.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.92 / $796.92 / $2,256.48
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
$565.67 / $591.99 / $651.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $681.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $4,803.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.74 / $627.16 / $1,090.48