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Florida 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

Facilitymedian $6,761 · 10th–90th $1,230–$23,4420%10%10th90th$6,761Professionalmedian $1,230 · 10th–90th $1,023–$2,5120%20%40%10th90th$1,230$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $4,897.79 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,230.27 / $2,630.27
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $6,309.57 / $12,302.69
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,174.90 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $398.11 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,479.11 / $2,398.83
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $23,442.29 / $34,673.69
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $794.33 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $7,943.28 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,445.44 / $2,511.89
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,174.90