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Illinois rates for HCPCS 58572

Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.96 / $3,270.00 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,681.94 / $14,651.36 / $24,304.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.97 / $1,799.15 / $4,670.33
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
$1,602.00 / $7,500.00 / $14,716.00