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Illinois rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.78 / $3,274.00 / $9,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,035.03 / $2,347.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,070.62 / $10,239.73 / $20,493.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.45 / $427.00 / $1,209.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $1,383.00 / $1,434.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.41 / $1,324.41 / $1,968.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.76 / $1,620.60 / $4,436.92
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
$1,188.19 / $1,276.83 / $1,415.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,632.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,978.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.31 / $1,318.04 / $2,280.46