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Illinois rates for HCPCS 21142

Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.00 / $2,824.00 / $7,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.19 / $1,342.40 / $2,592.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.91 / $56,666.25 / $123,596.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,625.00 / $8,625.00 / $8,625.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.99 / $1,912.24 / $2,863.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.30 / $2,213.19 / $9,161.79
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
$1,636.54 / $1,692.44 / $1,841.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,082.23
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
$1,290.80 / $1,705.45 / $3,097.92