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Illinois rates for HCPCS 57300

Clsr Rectovaginal Fistula Vaginal/Transanal Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $2,118.00 / $5,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.07 / $607.34 / $1,046.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.27 / $6,164.80 / $14,235.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.24 / $1,002.23 / $1,177.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.87 / $885.04 / $1,218.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.41 / $983.37 / $2,662.55
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
$718.34 / $770.34 / $852.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $983.37
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
$588.60 / $808.90 / $1,359.77