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Missouri 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
$1,311.45 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.26 / $1,300.24 / $1,327.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $11,288.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.03 / $1,409.25 / $2,252.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.81 / $1,633.15 / $2,992.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.79 / $1,791.55 / $7,903.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.04 / $2,082.71 / $11,088.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.63 / $1,683.31 / $3,155.99