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Missouri rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,595.41 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.70 / $1,581.77 / $3,962.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $11,288.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.49 / $1,724.90 / $2,738.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.77 / $1,986.84 / $3,650.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.88 / $2,180.41 / $4,962.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.08 / $2,534.46 / $12,225.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.77 / $1,950.17 / $3,816.09