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Illinois rates for HCPCS 53085

Drg Perineal Urinary Xtrvasation Complic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.24 / $1,609.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.24 / $670.36 / $1,221.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,669.26 / $7,869.09 / $18,305.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.39 / $942.91 / $1,349.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.10 / $1,095.83 / $3,408.28
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
$771.15 / $817.93 / $890.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,027.34
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
$692.68 / $945.50 / $1,452.23