go back

Illinois rates for HCPCS 50976

Ureteral Endosc Via Ureterot W/Dest&/Inc W/Wo Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.00 / $1,379.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.41 / $476.64 / $886.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,441.42 / $7,270.59 / $13,042.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.84 / $976.84 / $976.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $463.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.00 / $661.17 / $1,037.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.77 / $769.14 / $1,973.97
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
$543.11 / $584.73 / $634.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $731.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $2,622.00 / $5,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.77 / $679.35 / $1,053.44