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Illinois rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,784.00 / $7,123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.11 / $821.50 / $1,482.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,025.28 / $10,749.28 / $21,525.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.22 / $1,352.62 / $1,596.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.03 / $1,194.46 / $1,732.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.69 / $1,383.94 / $3,583.41
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
$957.44 / $1,044.35 / $1,150.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,327.17
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
$859.54 / $1,176.21 / $1,831.94