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Louisiana rates for HCPCS 50620

Urtrolithotomy Middle One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,447.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.74 / $1,421.97 / $1,526.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.10 / $1,272.94 / $1,645.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.63 / $1,167.26 / $1,567.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.19 / $1,190.63 / $1,903.60