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Illinois rates for HCPCS 54861

Epididymectomy Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $2,758.00 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.04 / $634.58 / $1,066.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,908.41 / $6,687.22 / $14,975.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.28 / $1,061.43 / $1,171.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.32 / $809.75 / $1,163.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.24 / $942.43 / $2,462.92
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
$677.16 / $716.47 / $779.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $899.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,975.00 / $7,676.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.03 / $780.25 / $1,266.79