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Illinois rates for HCPCS 53400

Urethroplasty 1st Stg Fistula/Diverticulum/Strix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.41 / $2,118.00 / $5,430.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,905.27 / $9,856.64 / $22,626.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.81 / $1,331.62 / $3,373.87
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
$1,152.00 / $5,000.00 / $8,995.00