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Illinois rates for HCPCS 53449

Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,187.76 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $13,803.84 / $17,378.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $2,691.53
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
$1,698.24 / $5,623.41 / $9,772.37