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Illinois rates for HCPCS 57109

Vagnc Prtl Rmvl Vag Wall W/Bi Tot Pel Lmphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $2,200.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.29 / $1,718.60 / $3,349.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,375.02 / $17,315.75 / $40,281.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.40 / $2,522.89 / $3,585.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.33 / $2,859.28 / $7,202.67
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
$2,030.99 / $2,204.48 / $2,429.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,803.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,951.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.52 / $2,326.77 / $4,022.17