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Indiana rates for HCPCS 50620

Urtrolithotomy Middle One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.46 / $1,387.14 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.46 / $898.71 / $1,186.46
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
$949.52 / $1,228.30 / $1,695.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.09 / $1,231.19 / $1,846.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.83 / $1,067.03 / $1,477.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.78 / $1,193.13 / $1,949.32
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
$866.56 / $1,058.33 / $1,743.08