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Illinois rates for HCPCS 50715

Ureterolysis W/Worpsg Ureter Retroperit Fibrosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,320.81 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,154.32 / $19,581.43 / $39,211.83
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
$1,307.90 / $2,021.30 / $4,541.85
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
$578.00 / $2,873.00 / $7,384.00