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Illinois rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,523.98 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $1,068.11 / $2,092.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,091.59 / $11,851.68 / $25,850.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.34 / $1,813.28 / $2,216.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $5,676.58 / $6,337.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.03 / $1,561.67 / $2,224.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.67 / $1,791.22 / $8,044.41
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
$1,279.68 / $1,372.88 / $1,521.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,720.97
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
$991.46 / $1,342.34 / $2,469.87