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Illinois rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.79 / $2,989.00 / $7,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.60 / $547.24 / $1,081.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,347.63 / $7,107.01 / $12,826.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.38 / $904.24 / $1,065.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $996.00 / $1,033.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.69 / $798.51 / $1,151.67
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.77 / $919.18 / $5,596.84
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
$644.80 / $697.00 / $768.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $887.24
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
$565.88 / $826.37 / $1,400.77