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Alabama rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.35 / $2,187.65 / $2,187.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,255.62 / $11,204.67 / $15,073.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.25 / $2,204.00 / $2,600.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.44 / $1,482.05 / $3,576.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $3,129.00 / $5,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.73 / $1,254.58 / $1,860.82