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Illinois rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $1,737.80 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $691.83 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $1,288.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $426.58 / $851.14
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
$165.96 / $741.31 / $2,187.76