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Illinois rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $2,587.00 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.29 / $1,308.10 / $2,420.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.91 / $58,390.87 / $127,357.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,887.50 / $8,887.50 / $8,887.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.16 / $1,862.36 / $2,861.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.50 / $2,167.71 / $8,422.91
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
$1,595.11 / $1,647.97 / $1,793.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,027.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,619.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.97 / $1,735.01 / $2,861.78