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Missouri rates for HCPCS 50620

Ureterolithotomy; middle one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,144.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.04 / $1,025.21 / $1,046.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.49 / $1,097.68 / $1,774.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.85 / $1,287.14 / $2,358.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.43 / $1,529.51 / $6,890.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.83 / $1,641.21 / $6,713.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.94 / $1,263.03 / $2,468.19