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Illinois rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.05 / $1,486.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.33 / $562.41 / $1,077.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,476.88 / $7,091.59 / $10,470.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.19 / $609.41 / $1,042.10
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
$365.65 / $651.78 / $1,201.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.03 / $866.54 / $3,261.26
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
$438.18 / $448.44 / $821.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $929.22
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
$612.79 / $872.86 / $1,481.30