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Illinois rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,187.37 / $6,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.83 / $1,726.12 / $3,187.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,534.30 / $22,533.28 / $45,122.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.14 / $2,834.87 / $3,249.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.50 / $2,470.91 / $3,553.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.82 / $2,810.39 / $12,441.50
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
$1,982.51 / $2,149.12 / $2,379.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,690.54
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
$1,572.54 / $2,181.28 / $3,796.14