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Illinois rates for HCPCS 57120

Colpocleisis Le Fort Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.01 / $2,747.00 / $7,125.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,223.76 / $6,946.89 / $12,352.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.30 / $876.76 / $2,449.32
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
$1,152.00 / $5,000.00 / $8,995.00