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Illinois rates for HCPCS 52287

Cystourethroscopy, with injection(s) for chemodenervation of the bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $2,041.74 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $346.74 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $213.80 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,019.95 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $389.05 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $363.08 / $645.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $524.81 / $1,737.80
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
$199.53 / $213.80 / $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
$891.25 / $2,238.72 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $354.81 / $630.96