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Illinois rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $2,801.97 / $7,780.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.73 / $1,098.33 / $1,962.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,091.59 / $10,791.55 / $21,736.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.93 / $1,883.77 / $2,381.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $8,217.02 / $9,173.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.27 / $1,467.62 / $2,214.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.15 / $1,758.13 / $3,948.83
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
$1,133.48 / $1,166.61 / $1,617.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,828.87
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
$1,083.60 / $1,468.97 / $2,649.19