go back

Alaska rates for HCPCS 50290

Excision of perinephric cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,664.64 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,214.10 / $4,214.10 / $5,846.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,096.92 / $3,096.92 / $3,096.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.44 / $4,214.10 / $6,026.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,181.78 / $5,665.80 / $7,404.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,372.50 / $3,912.10 / $5,731.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.44 / $4,214.10 / $6,026.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.53 / $3,891.00 / $5,795.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.00 / $3,716.31 / $5,722.31