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Illinois rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,759.05 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.77 / $1,493.46 / $2,759.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,713.04 / $22,915.60 / $45,888.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.44 / $2,079.05 / $3,015.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.97 / $2,429.08 / $5,950.91
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
$1,713.44 / $1,832.96 / $1,989.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,295.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.00 / $2,800.00 / $6,650.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.11 / $2,184.01 / $3,279.91