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Illinois rates for HCPCS 21454

Open Tx Mandibular Fx W/External Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $2,836.00 / $7,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.12 / $502.76 / $1,045.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,799.18 / $8,139.91 / $11,469.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.16 / $800.84 / $998.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $7,303.09 / $8,153.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.85 / $698.02 / $1,126.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.37 / $821.31 / $2,491.92
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
$600.26 / $618.41 / $672.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $760.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,751.00 / $6,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.55 / $681.70 / $1,202.03