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Illinois rates for HCPCS 29804

Arthroscopy, temporomandibular joint, surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,884.03 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,897.79 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $9,772.37 / $10,000.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $5,011.87
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
$1,778.28 / $4,365.16 / $8,912.51