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Illinois rates for HCPCS 58925

Ovarian Cystectomy Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.00 / $2,784.00 / $7,125.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,917.72 / $8,850.86 / $18,091.62
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
$831.29 / $1,284.72 / $2,966.36
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
$1,152.00 / $5,000.00 / $8,995.00