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Kansas 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
$1,930.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.27 / $1,309.91 / $1,839.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.08 / $1,868.33 / $1,868.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.32 / $1,737.08 / $2,303.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,663.00 / $5,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.08 / $1,502.90 / $10,108.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,647.00 / $6,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.88 / $1,424.29 / $2,106.51