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Illinois rates for HCPCS 58662

Laps Fulg/Exc Ovary Viscera/Peritoneal Surface

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.85 / $6,189.30 / $14,342.91
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$8,573.25 / $8,573.25 / $13,388.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,356.68 / $8,853.16 / $16,692.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $11,477.00 / $12,682.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.26 / $1,195.58 / $3,230.54
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