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Illinois rates for HCPCS 58720

Salpingo-Oophorectomy Compl/Prtl Uni/Bi Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.18 / $2,784.00 / $7,125.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,631.87 / $9,907.76 / $19,840.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.68 / $1,265.23 / $3,158.83
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
$1,300.00 / $5,978.00 / $12,241.00