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Illinois rates for HCPCS 51925

Clsr Vesicouterine Fistula W/Hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.34 / $1,890.17 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.64 / $1,135.11 / $2,045.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,208.66 / $17,558.64 / $35,161.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.27 / $2,275.27 / $2,275.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.98 / $1,558.85 / $2,213.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.42 / $1,791.48 / $4,355.43
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
$1,254.54 / $1,361.95 / $1,501.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,732.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.03 / $1,534.09 / $2,408.01