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Illinois rates for HCPCS 21188

Rcnstj Mdfc Oth/Thn Lefort Osteot & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $3,139.57 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.41 / $1,551.63 / $2,996.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,469.41 / $20,255.43 / $40,561.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.31 / $1,826.31 / $2,525.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.96 / $2,201.14 / $3,375.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.00 / $2,561.96 / $7,609.77
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
$1,884.81 / $1,947.70 / $2,119.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,396.81
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
$1,515.10 / $2,067.96 / $3,714.25