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Illinois rates for HCPCS 21406

Open treatment of fracture of orbit, except blowout; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,548.13 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $8,511.38 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $794.33 / $1,174.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,000.00 / $3,388.44
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
$691.83 / $741.31 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $616.60
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
$512.86 / $676.08 / $1,202.26