go back

Illinois rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,715.35 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $14,125.38 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,737.80 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $1,862.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $3,890.45
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
$1,047.13 / $1,122.02 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,884.03 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $1,949.84