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Illinois rates for HCPCS 57415

Removal Impacted Vag Fb Spx W/Anes Oth/Thn Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.15 / $1,630.00 / $5,091.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,741.43 / $3,779.69 / $5,402.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $293.48 / $590.63
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
$930.00 / $3,975.00 / $7,295.00