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Illinois rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/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
$1,826.41 / $2,171.75 / $4,062.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,253.92 / $28,350.64 / $56,772.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,561.92 / $3,542.55 / $4,380.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.48 / $3,087.73 / $4,560.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,483.17 / $3,596.64 / $9,145.49
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
$2,534.17 / $2,712.72 / $2,973.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,362.20
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
$2,065.19 / $2,918.20 / $4,851.91