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Oregon 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
$1,819.70 / $3,467.37 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,778.28 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,951.21 / $4,265.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,630.27 / $3,467.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,511.89 / $3,630.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,691.53 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $3,388.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,630.27 / $3,801.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,951.21 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $11,748.98 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,754.23 / $3,890.45