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Illinois rates for HCPCS 50957

Ureteral Endoscopy W/Dest&/Inc W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.29 / $1,169.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.16 / $436.38 / $771.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,441.42 / $6,730.07 / $9,924.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $463.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.39 / $590.29 / $842.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.94 / $665.79 / $1,876.18
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
$413.22 / $443.94 / $590.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $681.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,951.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.36 / $642.44 / $1,118.00