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Illinois rates for HCPCS 54162

Lysis/Excision Penile Postcircumcision Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.73 / $1,435.83 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.49 / $282.13 / $498.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.39 / $2,930.57 / $5,289.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.30 / $412.89 / $516.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.06 / $336.98 / $486.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.61 / $388.58 / $821.43
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
$239.34 / $252.58 / $346.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $399.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.00 / $3,751.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.32 / $392.52 / $586.91