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Alaska rates for HCPCS 50540

Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,406.07 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,386.70 / $5,386.70 / $7,496.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,969.69 / $3,969.69 / $3,969.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.34 / $5,386.70 / $7,702.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,774.53 / $7,205.10 / $9,458.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,288.75 / $4,974.95 / $7,321.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.34 / $5,386.70 / $7,702.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.25 / $4,969.50 / $7,381.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,175.76 / $4,763.64 / $7,337.00