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Alabama rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,689.06 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $1,689.06 / $1,689.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,926.71 / $4,753.60 / $6,395.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.26 / $1,262.00 / $1,489.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.38 / $1,106.83 / $2,750.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $5,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.52 / $917.88 / $1,427.64