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Arkansas rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.58 / $1,567.52 / $1,618.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.99 / $1,537.93 / $1,537.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.00 / $1,820.41 / $2,169.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.97 / $1,236.84 / $2,239.76