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Illinois rates for HCPCS 21340

Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $2,758.00 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.65 / $757.58 / $1,371.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,293.41 / $8,121.89 / $17,714.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.03 / $1,329.72 / $1,329.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,713.32 / $3,029.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.09 / $1,084.83 / $1,592.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.28 / $1,251.41 / $3,160.17
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
$895.95 / $951.37 / $1,044.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,181.28
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
$710.63 / $984.05 / $1,647.96