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Illinois rates for HCPCS 21407

Open Tx Fx Orbit Except Blowout W/Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $2,784.00 / $6,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.62 / $641.17 / $1,188.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,445.02 / $8,448.24 / $14,993.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.18 / $1,034.81 / $1,311.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $5,676.58 / $6,337.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.53 / $925.84 / $1,358.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.10 / $1,065.32 / $3,393.79
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
$775.50 / $811.98 / $891.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,008.14
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
$609.84 / $828.67 / $1,420.51