go back

Connecticut rates for HCPCS 50630

Urtrolithotomy Lower One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.00 / $8,031.00 / $13,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.48 / $1,610.11 / $2,289.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,021.45 / $11,075.34 / $12,977.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.24 / $1,831.16 / $2,172.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.89 / $1,387.29 / $2,810.09
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.29 / $1,471.64 / $1,471.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $6,137.00 / $16,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.03 / $1,477.07 / $2,723.61