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Florida 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
$1,203.00 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.14 / $1,299.38 / $1,694.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.45 / $1,845.99 / $2,921.05
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.69 / $1,028.24 / $1,808.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.60 / $1,357.13 / $1,879.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,136.00 / $12,748.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.80 / $1,649.83 / $2,835.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.45 / $1,064.45 / $1,064.45