go back

Illinois rates for HCPCS 58563

Hysteroscopy Endometrial Ablation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.01 / $4,200.00 / $10,132.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.79 / $623.79 / $3,613.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,512.46 / $5,453.22 / $8,387.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.79 / $1,159.03 / $3,350.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $7,366.00 / $8,072.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.55 / $771.53 / $3,407.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $2,567.28 / $5,148.99
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
$284.79 / $313.39 / $2,567.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,962.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $5,000.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.90 / $2,651.14 / $4,412.75