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Illinois rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.20 / $1,842.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.20 / $930.82 / $1,685.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,094.16 / $10,603.14 / $24,666.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.68 / $2,010.68 / $2,010.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.03 / $1,243.35 / $1,792.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.91 / $1,471.31 / $3,616.54
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
$1,033.84 / $1,101.34 / $1,197.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,252.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $5,000.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.84 / $1,283.83 / $1,959.41