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Illinois rates for HCPCS 58672

Laparoscopy Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $3,130.00 / $7,723.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.67 / $732.16 / $1,348.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,478.79 / $9,101.29 / $17,160.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.26 / $1,206.47 / $1,424.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $11,477.00 / $12,682.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.34 / $1,065.40 / $1,541.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.90 / $1,255.07 / $4,589.18
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
$850.47 / $932.33 / $1,025.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,183.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.00 / $7,500.00 / $14,716.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.82 / $1,119.99 / $1,707.72