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Illinois rates for HCPCS 21154

Rcnstj Midface Lefort Iii W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $3,221.00 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.66 / $1,956.95 / $3,758.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,943.01 / $25,546.56 / $51,156.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.92 / $3,191.32 / $3,657.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,973.22 / $2,781.60 / $4,127.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,236.32 / $3,213.53 / $9,047.70
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
$2,286.14 / $2,443.04 / $2,678.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,028.85
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
$1,870.12 / $2,537.92 / $4,368.99