go back

Illinois rates for HCPCS 50290

Excision Perinephric Cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.64 / $1,770.77 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.64 / $923.77 / $1,697.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,623.68 / $14,168.32 / $28,372.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.72 / $1,278.70 / $1,864.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.61 / $1,495.05 / $3,717.96
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
$1,063.60 / $1,132.90 / $1,231.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,420.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.81 / $1,377.05 / $2,015.54