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Illinois rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,784.00 / $6,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.67 / $701.96 / $1,296.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,055.97 / $9,094.87 / $16,414.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.13 / $1,158.94 / $1,328.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.30 / $998.63 / $1,470.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.95 / $1,147.59 / $3,223.56
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
$818.74 / $877.58 / $972.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,099.94
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
$622.41 / $847.93 / $1,506.57