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Illinois rates for HCPCS 52300

Cysto W/Rescj/Fulg Orthopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.92 / $1,848.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.12 / $4,752.85 / $7,882.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.39 / $460.83 / $1,204.30
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
$930.00 / $3,951.00 / $6,625.00