go back

Illinois rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,148.00 / $8,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.17 / $834.24 / $1,622.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,070.62 / $9,964.70 / $19,507.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $5,676.58 / $6,337.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.37 / $1,190.59 / $1,807.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.76 / $1,400.56 / $3,453.55
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
$1,018.28 / $1,054.64 / $1,146.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,296.44
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
$802.35 / $1,095.55 / $1,934.59