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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.43 / $1,563.43 / $1,590.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,701.16 / $12,172.15 / $19,381.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.69 / $1,813.69 / $1,852.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.53 / $1,881.09 / $2,231.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.00 / $2,137.11 / $6,710.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.29 / $1,774.44 / $12,225.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.46 / $1,594.47 / $2,454.48