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Illinois rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,168.69 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,244.36 / $15,135.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $2,951.21
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
$1,698.24 / $4,365.16 / $9,772.37