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Illinois rates for HCPCS 57284

Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,715.35 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,244.36 / $16,218.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $1,778.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,380.38 / $3,388.44
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
$977.24 / $1,071.52 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $5,370.32 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,819.70