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Wyoming rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.29 / $1,153.29 / $1,153.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.00 / $2,700.00 / $3,374.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.73 / $1,927.84 / $2,713.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.81 / $2,919.11 / $4,521.01