go back

Illinois rates for HCPCS 50972

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,995.26 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,128.61 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $741.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $575.44 / $1,621.81
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
$416.87 / $446.68 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,949.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $776.25