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Illinois rates for HCPCS 58548

Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.00 / $3,606.44 / $10,073.00
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$40,704.37 / $40,704.37 / $40,704.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,449.44 / $24,490.80 / $49,042.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $11,477.00 / $12,682.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,027.40 / $3,225.41 / $7,509.20
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
$1,300.00 / $5,978.00 / $12,241.00