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Iowa 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
$4,277.00 / $6,066.00 / $12,765.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.63 / $1,683.13 / $3,804.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,503.42 / $2,848.48 / $3,217.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.00 / $1,799.37 / $3,133.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,136.28 / $3,017.54 / $10,320.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.04 / $2,725.07 / $10,108.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.53 / $2,515.28 / $3,517.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.53 / $2,515.28 / $3,517.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,990.80 / $2,853.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.97 / $2,319.67 / $3,665.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.90 / $2,217.90 / $2,609.30