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Rhode Island rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.91 / $1,186.33 / $1,587.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.14 / $1,420.16 / $2,262.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $1,544.18 / $2,400.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $4,086.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.09 / $1,439.69 / $2,265.67