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Illinois rates for HCPCS 55175

Scrotoplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.87 / $1,266.46 / $5,091.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,522.29 / $5,213.14 / $9,664.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $463.00 / $480.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.27 / $606.69 / $1,672.68
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
$1,300.00 / $5,978.00 / $12,241.00