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Illinois rates for HCPCS 58943

Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies, diaphragmatic assessments, with or without salpingectomy(s), with or without omentectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,224.38 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.86 / $1,169.94 / $2,224.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,154.24 / $15,303.20 / $30,644.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.51 / $1,954.01 / $2,334.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.09 / $1,748.25 / $2,456.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.32 / $1,997.23 / $5,055.27
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
$1,408.41 / $1,527.29 / $1,683.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,942.50
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
$1,211.91 / $1,631.18 / $2,993.02