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Illinois rates for HCPCS D7953

Bone Replcmt Graft Ridge Preservation Per Site

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.24 / $467.24 / $467.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $467.24 / $585.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.79 / $97.79 / $97.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $595.65 / $790.87
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
$40.00 / $2,500.00 / $2,500.00