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Illinois rates for HCPCS 51050

Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,715.35 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,762.47 / $11,220.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $2,238.72
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
$1,288.25 / $4,265.80 / $7,585.78