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Nevada 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
$1,454.18 / $4,396.00 / $10,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.06 / $1,239.83 / $1,757.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,452.00 / $5,379.00 / $12,031.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.97 / $1,358.40 / $1,954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.08 / $1,351.12 / $1,924.88
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $1,221.80 / $1,781.80
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $1,018.17 / $1,527.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.00 / $3,060.00 / $9,042.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.34 / $1,392.21 / $2,227.44