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Mississippi rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,320.00 / $3,068.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.43 / $1,239.83 / $3,111.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.00 / $2,243.00 / $2,243.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.29 / $1,933.51 / $2,527.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,913.00 / $8,411.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.33 / $1,615.65 / $2,849.49