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Illinois rates for HCPCS 50695

Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.53 / $2,157.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.13 / $5,213.14 / $9,456.79
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
$454.75 / $1,776.22 / $4,179.76
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