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Illinois rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $3,636.00 / $7,780.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.61 / $1,560.71 / $2,810.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,070.62 / $9,602.95 / $17,331.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.48 / $1,680.04 / $3,350.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $7,744.38 / $8,645.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.45 / $1,683.81 / $3,352.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.51 / $2,163.61 / $3,101.80
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
$923.27 / $954.51 / $2,293.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,593.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.81 / $2,518.56 / $4,461.52