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Illinois rates for HCPCS 50760

Ureteroureterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,133.67 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,546.76 / $18,281.84 / $36,609.37
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
$1,212.68 / $1,885.17 / $4,826.28
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