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Illinois rates for HCPCS 50693

Plmt Urtrl Stent Prq Pre-Existing Nfros Tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.23 / $1,785.00 / $5,393.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,493.00 / $5,493.00 / $15,526.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.12 / $4,494.10 / $6,296.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.94 / $1,297.30 / $2,111.29
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $4,803.00 / $8,995.00