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Delaware rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $10,588.89 / $10,588.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.69 / $1,172.08 / $1,181.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.11 / $1,433.73 / $2,030.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.76 / $1,315.02 / $2,654.26