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Illinois rates for HCPCS 58575

Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,548.13 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $25,118.86 / $47,863.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,311.31 / $7,585.78
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
$1,584.89 / $5,495.41 / $8,511.38