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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
$1,949.84 / $5,623.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,819.70 / $6,309.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,348.96 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,348.96 / $1,949.84