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Illinois rates for HCPCS 52300

Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,511.89 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,128.61 / $7,244.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $457.09 / $1,258.93
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 / $3,548.13 / $7,585.78