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Illinois rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,270.00 / $13,495.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.90 / $731.44 / $1,267.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,505.01 / $9,154.58 / $17,261.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.12 / $1,225.48 / $1,353.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.00 / $1,855.00 / $1,923.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.57 / $934.90 / $1,362.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.57 / $1,089.06 / $3,196.73
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
$777.75 / $827.94 / $900.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,038.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.00 / $7,612.00 / $15,310.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.53 / $1,004.29 / $1,609.16