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Illinois rates for HCPCS 41899

Unlisted Procedure Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $5,091.00 / $9,897.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $82.50 / $2,550.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.58 / $348.33 / $455.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.10 / $321.36 / $358.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $587.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,999.99 / $9,999.99 / $9,999.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.00 / $891.00 / $3,685.00