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Illinois rates for HCPCS 54390

Plastic Rpr Penis Epispadias W/Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,346.04 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.83 / $1,384.30 / $2,346.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,526.04 / $18,237.52 / $36,520.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,556.94 / $2,556.94 / $2,556.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.55 / $1,804.80 / $2,574.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.52 / $2,057.46 / $6,694.51
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
$1,464.32 / $1,564.16 / $1,699.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,960.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,978.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.83 / $1,925.83 / $2,790.56