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Illinois rates for HCPCS 21453

Closed Tx Mandibular Fx W/Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.33 / $2,118.00 / $7,723.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,070.62 / $10,656.07 / $21,356.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $5,676.58 / $6,337.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.25 / $1,522.55 / $3,528.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00