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Illinois rates for HCPCS 31225

Maxillectomy W/O Orbital Exenteration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $3,418.44 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,173.39 / $23,900.32 / $47,860.39
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
$1,879.05 / $2,903.47 / $8,339.60
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
$578.00 / $2,873.00 / $7,384.00