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Illinois rates for HCPCS 50526

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $3,021.68 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.60 / $1,701.23 / $3,021.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,442.49 / $26,614.96 / $53,296.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.90 / $2,364.82 / $3,160.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.35 / $2,700.79 / $6,975.93
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
$1,784.46 / $2,053.23 / $2,308.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,663.70
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
$1,570.27 / $2,118.87 / $3,726.00