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Connecticut rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.56 / $7,629.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.30 / $2,506.56 / $3,240.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,927.44 / $14,057.22 / $19,128.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.97 / $2,875.06 / $3,411.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.80 / $2,177.75 / $4,387.51
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.46 / $2,292.28 / $2,292.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $8,250.00 / $11,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.77 / $2,314.57 / $4,440.60