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Illinois rates for HCPCS 58752

Tubouterine implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,715.35 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $11,748.98 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,318.26 / $1,905.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $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
$1,047.13 / $1,148.15 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,265.80 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $1,995.26