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Illinois rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.10 / $1,094.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.40 / $356.50 / $604.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.73 / $2,709.00 / $5,561.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.22 / $495.28 / $791.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.47 / $594.44 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.22 / $418.74 / $728.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.52 / $603.60 / $1,017.44
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
$297.77 / $306.72 / $540.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $611.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.00 / $2,588.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.83 / $466.22 / $828.84