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Illinois rates for HCPCS D7283

Plcmt Device Facilitate Eruption Impacted Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.00 / $187.00 / $187.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.12 / $187.00 / $234.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.12 / $86.12 / $86.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $280.72 / $358.14
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