go back

Alaska rates for HCPCS 50610

Ureterolithotomy; upper one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,803.88 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,434.34 / $4,434.34 / $6,166.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,265.65 / $3,265.65 / $3,265.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.48 / $4,434.34 / $6,341.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,289.33 / $5,945.10 / $7,787.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,538.75 / $4,104.95 / $6,028.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.48 / $4,434.34 / $6,341.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.33 / $4,093.50 / $6,081.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,387.71 / $3,918.78 / $6,035.02