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Connecticut rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,077.53 / $7,629.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.27 / $2,077.53 / $2,687.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,927.44 / $14,057.22 / $19,128.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.46 / $2,381.98 / $2,826.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.22 / $1,806.90 / $3,650.63
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.85 / $1,900.54 / $1,900.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $8,250.00 / $11,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.97 / $1,781.87 / $3,704.79