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Illinois rates for HCPCS 51940

Closure Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $3,109.01 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.57 / $1,681.18 / $3,109.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,064.67 / $25,806.80 / $51,678.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.04 / $3,196.60 / $3,447.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.22 / $2,340.01 / $3,397.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.34 / $2,757.31 / $8,470.00
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
$1,927.64 / $2,063.85 / $2,240.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,584.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.59 / $2,408.07 / $3,695.67