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Delaware rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,584.89