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Louisiana rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.43 / $1,817.00 / $1,970.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,445.51 / $14,427.88 / $20,280.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.24 / $1,627.42 / $2,119.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.89 / $1,495.40 / $2,004.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.08 / $1,536.91 / $2,457.25