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Illinois rates for HCPCS 54164

Frenulotomy Penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.60 / $1,954.00 / $10,073.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.00 / $2,882.80 / $5,092.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.38 / $329.65 / $959.58
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
$930.00 / $3,951.00 / $6,625.00