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Ohio 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
$1,140.28 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.69 / $1,140.28 / $2,264.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,142.00 / $12,455.21 / $21,287.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.74 / $1,356.31 / $2,264.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.83 / $1,298.21 / $1,606.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.02 / $1,190.02 / $1,234.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.68 / $1,516.03 / $2,330.65
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.83 / $1,627.39 / $2,251.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.77 / $1,142.84 / $1,620.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.83 / $1,460.48 / $2,552.64