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Arkansas rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.03 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.89 / $1,207.94 / $1,301.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.53 / $1,189.23 / $1,189.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.57 / $1,449.94 / $1,673.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.13 / $948.56 / $1,719.74