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Illinois rates for HCPCS 21240

Arthrp Temporomandibular Joint W/Wo Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.35 / $2,758.00 / $5,580.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,091.59 / $11,469.87 / $24,210.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $5,676.58 / $6,337.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.76 / $1,719.63 / $8,165.75
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00