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Rhode Island rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.01 / $1,432.55 / $1,915.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.87 / $1,712.79 / $2,727.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $1,861.06 / $2,891.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $4,086.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.96 / $1,995.70 / $3,070.26