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Oklahoma 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
$1,285.20 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.20 / $1,285.20 / $1,307.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.55 / $1,545.19 / $1,802.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,588.41 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.08 / $1,465.02 / $11,088.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.39 / $1,315.22 / $2,101.94