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Illinois rates for HCPCS 40819

Exc Frenum Labial/Buccal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.50 / $1,207.00 / $7,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.76 / $275.99 / $488.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.39 / $2,151.42 / $3,882.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.61 / $343.91 / $453.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $463.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.76 / $334.32 / $520.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.06 / $388.43 / $791.40
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
$245.17 / $248.91 / $360.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $416.18
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
$290.88 / $419.66 / $704.49