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Illinois rates for HCPCS 21025

Excision of bone (eg, for osteomyelitis or bone abscess); mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,041.74 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,511.38 / $14,125.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $1,659.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,230.27 / $2,691.53
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
$812.83 / $831.76 / $1,071.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,370.32 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $977.24 / $1,621.81