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Illinois rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,344.28 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.56 / $1,320.01 / $2,344.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,654.32 / $20,650.96 / $41,353.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.95 / $2,558.69 / $2,664.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.20 / $1,862.21 / $2,577.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.74 / $2,098.23 / $5,806.03
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
$1,391.95 / $1,595.15 / $1,793.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,069.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.00 / $2,714.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.58 / $1,744.62 / $2,886.72