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Oregon rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,308.44 / $2,824.48 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.06 / $1,499.69 / $3,627.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.37 / $2,483.85 / $3,377.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,842.27 / $2,621.28 / $2,951.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.69 / $2,338.77 / $3,224.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.25 / $2,074.15 / $3,666.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.11 / $2,173.94 / $2,301.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.69 / $2,537.30 / $3,105.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.62 / $2,654.31 / $3,377.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,912.75 / $5,912.75 / $5,912.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.64 / $2,818.42 / $3,603.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.11 / $2,482.10 / $3,613.00