go back

Alaska rates for HCPCS 50620

Ureterolithotomy; middle one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,680.55 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,239.30 / $4,239.30 / $5,894.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,121.06 / $3,121.06 / $3,121.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.91 / $4,239.30 / $6,062.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,189.05 / $5,684.70 / $7,446.14
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,383.75 / $3,925.15 / $5,768.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.91 / $4,239.30 / $6,062.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.75 / $3,915.00 / $5,820.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,284.59 / $3,745.26 / $5,769.46