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Illinois rates for HCPCS 58674

Laps Abltj Uterine Fibroids W/Intraop Us Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $3,221.00 / $9,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.01 / $851.85 / $1,595.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,681.94 / $13,783.13 / $20,186.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.52 / $1,342.85 / $1,585.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $11,477.00 / $12,682.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.07 / $1,185.83 / $1,705.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.53 / $1,396.06 / $4,018.26
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
$948.06 / $1,037.08 / $1,141.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,317.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.00 / $7,400.00 / $14,716.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.60 / $1,232.97 / $1,896.94