go back

Illinois rates for HCPCS 21031

Excision of torus mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $758.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $537.03 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $691.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $549.54 / $1,174.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $338.84 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $407.38 / $691.83