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Illinois rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.00 / $2,836.00 / $7,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.30 / $909.62 / $1,797.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,564.40 / $11,902.48 / $23,834.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.56 / $1,501.60 / $1,772.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.34 / $1,326.02 / $1,920.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.01 / $1,534.82 / $6,546.00
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
$1,060.48 / $1,159.38 / $1,276.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,473.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $4,803.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.57 / $1,340.79 / $2,331.33