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Illinois rates for HCPCS 50576

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,995.26 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $13,182.57 / $16,982.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $794.33 / $1,258.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $912.01 / $3,162.28
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
$660.69 / $707.95 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,951.21 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,230.27