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Illinois rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.25 / $2,784.00 / $7,123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.86 / $1,153.57 / $2,256.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,846.70 / $13,258.62 / $27,030.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.58 / $1,935.65 / $2,244.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.20 / $1,678.76 / $2,426.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.49 / $1,976.70 / $4,677.89
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
$1,338.47 / $1,468.40 / $1,616.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,865.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,978.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.86 / $1,627.02 / $2,681.02