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Illinois rates for HCPCS D7241

Remv Imp Tooth - Cmpl Bony W/Unusual Surg Comps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.92 / $2,989.00 / $7,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.80 / $264.97 / $350.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.75 / $2,353.85 / $8,129.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.22 / $675.22 / $675.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.08 / $273.08 / $273.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $872.57 / $982.39
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
$30.00 / $30.00 / $2,500.00