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Illinois rates for HCPCS 50688

Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.53 / $1,379.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.77 / $84.61 / $148.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.73 / $2,007.10 / $3,480.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.80 / $150.85 / $162.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $463.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.19 / $116.10 / $174.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.46 / $134.47 / $345.40
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
$93.31 / $97.12 / $105.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $2,622.00 / $5,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.80 / $117.13 / $172.23