go back

Illinois rates for HCPCS 50953

Ureteral Endoscopy Via Ureterost W/Wo Dil Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.01 / $1,129.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,390.19 / $5,074.37 / $9,158.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $463.00 / $480.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.03 / $618.88 / $1,533.90
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
$749.00 / $2,622.00 / $5,026.00