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Illinois rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,842.96 / $6,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.00 / $1,544.55 / $2,842.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,426.21 / $20,163.04 / $40,376.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,835.17 / $2,537.61 / $3,105.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.79 / $2,211.81 / $3,218.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.77 / $2,515.01 / $11,481.67
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
$1,776.02 / $1,923.25 / $2,129.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,408.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,945.00 / $11,479.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.98 / $1,942.46 / $3,399.22