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Illinois rates for HCPCS 40810

Exc Les Mucosa & Sbmcsl Vestibule Mouth W/O Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.38 / $1,055.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.53 / $207.14 / $370.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.79 / $2,276.50 / $5,510.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.18 / $225.82 / $352.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.47 / $217.87 / $378.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.17 / $300.31 / $592.19
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
$147.55 / $150.46 / $282.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $326.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $2,622.00 / $5,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.46 / $304.95 / $521.86