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Illinois rates for HCPCS 58292

Vag Hyst > 250 Gm Rmvl Tube&/Ovary W/Rpr Entrcle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,836.00 / $7,123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.68 / $1,314.55 / $2,411.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,864.77 / $14,126.35 / $30,811.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.01 / $2,201.88 / $2,554.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.50 / $1,909.66 / $2,762.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.28 / $2,249.98 / $5,749.56
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
$1,522.55 / $1,671.42 / $1,838.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,121.84
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
$1,378.98 / $1,950.37 / $3,360.02