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Illinois rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.66 / $813.00 / $4,432.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$333.50 / $417.50 / $417.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.70 / $402.59 / $761.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.87 / $280.07 / $480.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.18 / $188.94 / $428.37
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
$165.00 / $891.00 / $3,592.00