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Indiana rates for HCPCS 50610

Urtrolithotomy Upper One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.65 / $1,450.26 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.65 / $939.43 / $1,240.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $11,044.01 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.08 / $865.98 / $1,229.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.78 / $1,287.21 / $1,930.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.30 / $1,072.68 / $1,544.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.76 / $1,261.05 / $2,038.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.42 / $1,105.08 / $1,852.89