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Illinois rates for HCPCS 21630

Radical Resection Sternum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,784.00 / $6,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.48 / $1,335.01 / $2,316.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,147.44 / $17,427.68 / $34,898.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.09 / $2,197.92 / $2,689.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.42 / $1,889.27 / $2,743.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.01 / $2,178.04 / $5,049.04
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
$1,543.39 / $1,665.56 / $1,844.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,086.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.00 / $6,885.00 / $14,716.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.40 / $1,584.79 / $2,762.80