go back

Illinois rates for HCPCS 58565

Hysteroscopy Bi Tube Occlusion W/Perm Implnts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.45 / $2,265.00 / $5,405.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.64 / $1,282.53 / $2,785.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,849.81 / $6,804.69 / $11,286.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.79 / $882.96 / $2,843.02
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
$500.79 / $1,544.51 / $3,033.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.13 / $2,189.21 / $5,579.91
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
$535.95 / $577.69 / $2,075.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,394.73
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
$1,865.85 / $2,617.21 / $4,272.34