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Illinois rates for HCPCS 54057

Dstrj Lesion Penis Simple Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.04 / $1,272.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.94 / $2,186.36 / $3,279.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $463.00 / $480.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.54 / $204.50 / $419.91
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $2,622.00 / $5,026.00