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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.61 / $1,488.60 / $2,599.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.19 / $1,969.86 / $2,199.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.28 / $2,266.12 / $2,755.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.19 / $1,942.17 / $2,219.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,602.13 / $2,015.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.22 / $1,744.22 / $2,144.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.74 / $1,520.10 / $2,451.62