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Illinois rates for HCPCS 40805

Rmvl Embedded Fb Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.87 / $1,278.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.44 / $282.73 / $487.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.56 / $1,660.85 / $3,863.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.69 / $343.25 / $479.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.41 / $335.05 / $583.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.54 / $408.84 / $1,316.71
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
$242.20 / $248.43 / $381.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $440.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $900.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.39 / $437.46 / $737.20