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Illinois rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.00 / $2,740.70 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.05 / $1,382.98 / $2,711.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.91 / $54,202.50 / $118,222.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,250.00 / $8,250.00 / $8,250.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.72 / $1,971.03 / $2,990.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.39 / $2,295.33 / $11,121.28
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
$1,686.79 / $1,744.99 / $1,898.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,165.33
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
$1,333.66 / $1,749.99 / $3,217.67