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Illinois rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $2,228.00 / $5,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.67 / $717.92 / $1,251.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.23 / $6,709.15 / $14,633.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.80 / $1,010.53 / $1,291.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $1,279.13 / $1,428.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.79 / $934.22 / $1,456.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.16 / $1,093.42 / $3,434.44
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
$770.94 / $771.88 / $1,012.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,144.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.00 / $2,588.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.95 / $855.50 / $1,576.48