go back

Illinois rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.00 / $2,243.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.96 / $1,203.73 / $2,342.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,346.22 / $12,904.99 / $28,147.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.07 / $2,458.32 / $2,458.32
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
$1,229.66 / $1,718.75 / $2,618.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.01 / $2,049.44 / $6,117.52
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
$1,450.59 / $1,522.44 / $1,655.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,876.86
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
$1,205.59 / $1,649.54 / $2,916.30