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Alaska rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,445.44 / $5,888.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,570.40 / $6,165.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $5,495.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $4,168.69 / $6,025.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $851.14 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,454.71 / $5,754.40