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California rates for HCPCS 50620

Urtrolithotomy Middle One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,616.00 / $9,006.00 / $19,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.26 / $971.88 / $4,754.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,738.00 / $8,530.00 / $17,774.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.51 / $1,397.59 / $2,652.85
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.20 / $100.00 / $5,620.13
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.84 / $979.55 / $2,408.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.83 / $1,180.66 / $3,585.54
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.27 / $1,004.21 / $1,205.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.19 / $1,155.11 / $2,051.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,810.00 / $7,355.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,566.32 / $6,713.28 / $7,490.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.45 / $1,224.57 / $1,732.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.70 / $1,185.61 / $2,561.98
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,950.20 / $2,950.20 / $2,950.20
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.27 / $1,107.41 / $1,396.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.00 / $5,067.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.55 / $1,107.51 / $3,028.82