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Illinois rates for HCPCS 58673

Laparoscopy, surgical; with salpingostomy (salpingoneostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,168.69 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $15,135.61 / $19,498.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $11,481.54 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $1,698.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,318.26 / $5,011.87
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
$933.25 / $1,023.29 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,943.28 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,737.80