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Illinois rates for HCPCS 21423

Open Tx Palatal/Maxillary Fx Comp Multiple Appr

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
$696.86 / $809.38 / $1,462.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,939.56 / $10,565.92 / $21,158.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.92 / $1,324.16 / $1,619.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.80 / $1,141.58 / $1,677.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.68 / $1,325.14 / $3,803.07
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
$936.53 / $1,002.66 / $1,111.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,256.75
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
$745.38 / $1,034.54 / $1,731.63