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North Dakota 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
$1,150.85 / $1,150.85 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.83 / $1,150.85 / $1,150.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,207.38 / $2,402.67 / $2,880.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.55 / $2,679.35 / $3,459.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.85 / $1,604.96 / $3,452.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.65 / $2,155.04 / $2,981.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.44 / $2,295.34 / $2,981.78