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Delaware rates for HCPCS 50630

Urtrolithotomy Lower One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.32 / $906.12 / $906.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.54 / $1,105.43 / $1,569.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.93 / $1,021.67 / $2,035.21