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Illinois rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $4,073.80 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $588.84 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,244.36 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $794.33 / $1,148.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $912.01 / $5,623.41
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
$645.65 / $691.83 / $776.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,073.80 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $1,174.90