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Illinois rates for HCPCS 21436

Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,801.89 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $4,466.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $10,000.00 / $44,668.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,388.44 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,818.38 / $4,168.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,467.37 / $8,912.51
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
$2,398.83 / $2,570.40 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $6,025.60 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,454.71 / $4,265.80