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Illinois rates for HCPCS L8630

Metacarpophalangeal joint implant

Facilitymedian $550 · 10th–90th $263–$3,0900%20%40%10th90th$550Professionalmedian $263 · 10th–90th $174–$5500%20%10th90th$263$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,202.26 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $549.54
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $588.84 / $758.58
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $302.00 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $269.15 / $407.38