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Illinois rates for HCPCS 50386

Remove Int Dwell Ureteral Stent Transurethral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.13 / $1,231.60 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.35 / $732.79 / $1,231.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.41 / $2,818.74 / $4,549.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.00 / $580.48 / $1,420.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.94 / $415.97 / $1,266.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.98 / $1,000.64 / $2,158.69
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
$190.28 / $204.40 / $946.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,092.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,951.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.86 / $1,070.39 / $1,626.65