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Illinois rates for HCPCS 58553

Laps W/Vaginal Hysterectomy > 250 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.08 / $3,630.00 / $10,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.11 / $1,133.21 / $2,077.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,864.05 / $14,700.83 / $26,299.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.90 / $1,851.71 / $2,187.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $11,477.00 / $12,682.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.91 / $1,635.19 / $2,356.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.83 / $1,927.30 / $4,623.08
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
$1,301.98 / $1,430.98 / $1,574.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,816.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.00 / $7,500.00 / $14,716.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.13 / $1,657.92 / $2,868.21