go back

Illinois rates for HCPCS 21406

Open Tx Fx Orbit Except Blowout W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $2,660.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.30 / $570.07 / $1,063.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,927.89 / $8,324.91 / $13,790.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.84 / $974.64 / $1,117.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $5,676.58 / $6,337.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.58 / $822.25 / $1,195.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.30 / $963.90 / $3,181.90
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
$693.67 / $737.10 / $818.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $925.01
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
$527.98 / $716.76 / $1,267.19