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Illinois rates for HCPCS 50961

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.51 / $1,159.00 / $5,091.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,441.42 / $6,730.07 / $9,542.04
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
$394.94 / $595.57 / $1,687.84
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
$930.00 / $3,951.00 / $6,625.00