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Illinois rates for HCPCS 42281

Insj Pin-Retained Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.42 / $1,603.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.61 / $213.16 / $361.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.81 / $3,158.76 / $9,928.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.07 / $275.48 / $379.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.70 / $709.00 / $5,676.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.03 / $253.06 / $407.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.89 / $317.70 / $793.21
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
$195.23 / $199.38 / $297.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $336.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $2,588.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.08 / $264.87 / $487.53