go back

Illinois rates for HCPCS 50783

Ureteroneocystostomy W/Ureteral Tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.59 / $2,133.63 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.59 / $1,164.83 / $2,133.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,290.94 / $17,734.64 / $35,513.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.86 / $2,196.69 / $2,368.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.67 / $1,636.04 / $2,334.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.77 / $1,894.80 / $6,505.07
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
$1,328.31 / $1,417.91 / $1,539.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,776.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.72 / $1,694.06 / $2,534.41