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Illinois rates for HCPCS 21355

Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,290.87 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,786.30 / $7,244.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $794.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $645.65 / $1,698.24
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
$389.05 / $407.38 / $602.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,370.32 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $776.25