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Alabama rates for HCPCS 50405

Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney, calycoplasty)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,639.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.74 / $2,639.98 / $2,639.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,255.62 / $11,204.67 / $15,073.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.13 / $2,481.00 / $2,927.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.21 / $1,791.65 / $4,317.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $3,129.00 / $5,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.08 / $1,454.77 / $2,235.86