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Illinois rates for HCPCS 21256

Reconstruction Orbit W/Osteotomies & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,322.65 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.53 / $1,209.77 / $2,322.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,672.72 / $13,478.55 / $29,398.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.48 / $2,073.42 / $2,536.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.72 / $1,784.02 / $2,551.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.21 / $2,053.91 / $9,170.85
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
$1,459.61 / $1,570.63 / $1,740.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,967.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,619.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.95 / $1,568.74 / $2,752.43