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Illinois rates for HCPCS 58152

Tot Abd Hyst W/Wo Rmvl Tube Ovary W/Colpurethrxy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.04 / $3,073.00 / $8,783.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.94 / $1,239.04 / $2,313.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,579.55 / $16,212.96 / $32,466.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.97 / $2,081.33 / $2,413.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.10 / $1,805.11 / $2,606.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.34 / $2,112.63 / $5,062.82
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
$1,439.79 / $1,579.31 / $1,738.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,005.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.67 / $1,737.35 / $2,820.67