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Illinois rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.34 / $2,118.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.94 / $305.44 / $551.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.12 / $4,853.62 / $8,124.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.44 / $561.99 / $663.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.10 / $411.40 / $608.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.97 / $477.72 / $1,494.06
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
$338.65 / $363.18 / $393.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $454.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,951.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.35 / $425.73 / $657.13