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Arizona rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.58 / $909.98 / $4,695.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.50 / $735.33 / $919.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.67 / $1,079.47 / $1,960.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.07 / $1,202.03 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.06 / $1,034.54 / $6,633.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.87 / $979.26 / $1,705.47