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Illinois rates for HCPCS 53415

Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $3,090.30 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $17,782.79 / $33,884.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,862.09 / $5,888.44
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
$2,041.74 / $5,011.87 / $12,022.64