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Illinois rates for HCPCS 50620

Urtrolithotomy Middle One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.55 / $2,784.00 / $7,123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.55 / $929.25 / $1,709.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,652.26 / $14,229.44 / $28,494.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.34 / $1,292.68 / $1,844.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.91 / $1,510.40 / $3,741.50
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
$1,066.95 / $1,137.98 / $1,236.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,426.47
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
$941.94 / $1,316.48 / $2,030.48