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Idaho rates for HCPCS 50610

Ureterolithotomy; upper one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.65 / $1,227.33 / $2,141.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.58 / $1,622.68 / $1,811.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.83 / $1,878.56 / $2,269.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.95 / $1,602.53 / $1,831.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,321.30 / $1,662.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.83 / $1,437.83 / $1,767.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.06 / $1,286.61 / $2,019.47