go back

Illinois rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.55 / $552.37 / $3,636.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.64 / $102.29 / $175.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.31 / $1,089.44 / $2,181.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.66 / $138.86 / $237.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $121.44 / $229.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.31 / $186.00 / $453.09
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
$83.59 / $87.78 / $156.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $176.97
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
$107.80 / $150.22 / $288.33