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Illinois rates for HCPCS 21025

Excision Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.96 / $1,694.00 / $5,186.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.33 / $773.96 / $1,349.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,521.28 / $8,469.20 / $15,170.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.44 / $1,084.70 / $1,597.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $5,676.58 / $6,337.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.35 / $1,039.93 / $1,634.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.14 / $1,217.66 / $2,454.35
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
$806.08 / $835.95 / $1,082.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,224.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.91 / $1,115.11 / $1,768.82