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Illinois rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $2,916.52 / $7,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.57 / $1,248.29 / $2,293.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,535.22 / $12,562.27 / $29,223.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.18 / $2,090.40 / $2,424.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.83 / $1,812.97 / $2,621.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.33 / $2,135.53 / $5,407.46
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
$1,445.41 / $1,586.39 / $1,745.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,014.41
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
$1,308.25 / $1,847.94 / $3,187.99