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Illinois rates for HCPCS 21750

Close Median Sternotomy Sep W/Wo Debridement Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $2,747.00 / $5,580.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,309.00 / $9,217.12 / $18,457.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.49 / $1,175.93 / $3,654.57
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
$2,537.00 / $6,885.00 / $14,716.00