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Illinois rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,335.00 / $6,727.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.75 / $2,159.55 / $4,010.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.91 / $25,042.54 / $54,620.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,786.97 / $3,853.73 / $4,522.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,849.28 / $3,184.79 / $4,421.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.19 / $3,619.68 / $7,674.97
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
$2,335.23 / $2,800.94 / $3,234.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,657.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,945.00 / $11,831.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.35 / $2,566.28 / $4,829.47