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Illinois rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $1,486.00 / $4,961.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.28 / $453.36 / $768.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,579.39 / $4,648.56 / $8,326.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.12 / $730.15 / $913.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $2,713.32 / $3,029.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.18 / $569.29 / $907.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.59 / $667.76 / $1,111.49
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
$440.79 / $452.18 / $620.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $701.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $3,715.00 / $6,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.50 / $595.14 / $1,102.93