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Illinois rates for HCPCS 50684

Inj Px Ureterography/Ureteropylography Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.97 / $973.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $116.84 / $190.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.96 / $799.92 / $1,601.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.53 / $131.13 / $246.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $115.51 / $250.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.84 / $189.90 / $600.25
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
$60.44 / $62.69 / $163.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $185.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $900.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.54 / $198.41 / $339.47