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Illinois rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,794.00 / $8,571.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.99 / $3,259.79 / $6,097.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,070.62 / $9,928.21 / $17,988.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.34 / $2,724.11 / $7,528.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $7,502.44 / $8,375.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.56 / $1,964.39 / $6,780.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.12 / $3,224.61 / $6,992.23
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
$960.49 / $992.38 / $5,194.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $5,873.47
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
$3,262.68 / $4,656.64 / $8,389.46