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Illinois rates for HCPCS 21400

Clsd Tx Fx Orbit Except Blowout W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.02 / $1,486.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.69 / $193.15 / $339.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.47 / $1,679.33 / $3,906.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.19 / $343.60 / $432.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.28 / $593.11 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.22 / $260.01 / $391.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.75 / $321.45 / $924.19
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
$207.01 / $212.80 / $298.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $337.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.01 / $251.37 / $427.83