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North Dakota rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.46 / $1,164.46 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.80 / $1,164.46 / $1,363.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.46 / $2,420.28 / $2,901.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.84 / $2,698.96 / $3,485.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.46 / $1,616.85 / $3,493.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.97 / $2,182.96 / $3,014.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.79 / $2,325.08 / $3,014.96