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Illinois rates for HCPCS 52330

Cysto Manj W/O Rmvl Ureteral Stone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.86 / $1,568.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.18 / $527.20 / $892.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.12 / $4,745.76 / $7,375.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.70 / $614.78 / $1,265.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.73 / $578.29 / $1,008.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.56 / $809.44 / $2,327.94
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
$307.33 / $330.16 / $765.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $882.75
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
$598.37 / $897.56 / $1,580.72