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Nevada 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
$1,412.54 / $4,466.84 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,737.80 / $5,754.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $8,128.31 / $10,232.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,862.09 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $2,290.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $1,412.54 / $2,137.96
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $1,819.70
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,162.28 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $2,454.71