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Arkansas rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,890.39 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.38 / $1,890.39 / $2,048.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.55 / $1,854.99 / $1,854.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.00 / $2,234.37 / $2,616.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,314.00 / $5,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.61 / $1,493.34 / $2,693.96