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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.25 / $1,168.09 / $6,032.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.31 / $943.08 / $1,178.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.71 / $1,385.55 / $2,514.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.94 / $1,524.81 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.18 / $1,331.66 / $11,088.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.03 / $1,258.94 / $2,192.56