search again

Nationwide rates for HCPCS 50400

Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,570.88 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,318.26 / $2,818.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $10,715.19 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $2,951.21 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,778.28 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,888.44 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,445.44 / $2,691.53