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Illinois rates for HCPCS 21461

Open treatment of mandibular fracture; without interdental fixation

Facilitymedian $3,802 · 10th–90th $1,148–$9,7720%5%10%10th90th$3,802Professionalmedian $2,512 · 10th–90th $933–$5,4950%5%10%10th90th$2,512$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $3,715.35 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $8,912.51 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $2,511.89 / $5,495.41
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,370.32 / $12,302.69