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Illinois rates for HCPCS 58573

Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,586.71 / $6,478.45 / $25,186.52
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$5,026.02 / $9,175.16 / $20,572.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,420.83 / $15,736.64 / $28,433.29
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
$1,313.43 / $2,104.00 / $4,746.58
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