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Illinois rates for HCPCS 52325

Cysto Fragmentation Ureteral Stone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.03 / $2,758.00 / $6,180.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,441.42 / $6,730.07 / $9,636.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $534.92 / $1,912.40
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