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Illinois rates for HCPCS 52355

Cysto/Pyeloscopy Rescj Pelvic Tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $2,758.00 / $5,580.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,441.42 / $7,270.59 / $13,079.42
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
$496.30 / $771.52 / $2,557.11
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
$1,165.00 / $4,239.42 / $6,514.00