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Colorado rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,734.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.13 / $908.13 / $1,190.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,586.00 / $7,563.67 / $13,131.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.55 / $1,295.82 / $1,787.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.08 / $1,339.16 / $1,785.55
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.13 / $1,221.19 / $1,528.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.50 / $1,344.73 / $1,728.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $8,565.00 / $14,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.20 / $1,488.05 / $2,325.08