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Colorado 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
$1,172.57 / $3,189.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.57 / $1,181.27 / $1,540.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,834.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.54 / $1,673.70 / $2,308.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.35 / $1,728.91 / $2,305.21
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.57 / $1,578.46 / $1,973.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.34 / $1,736.30 / $2,232.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,804.00 / $8,586.00 / $15,893.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.94 / $1,835.84 / $3,032.43