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Illinois rates for HCPCS 0055T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,398.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $208.93 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $281.84 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $190.55 / $269.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $851.14 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $257.04 / $549.54