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Florida rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.12 / $5,839.00 / $12,669.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.06 / $832.89 / $1,083.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.60 / $1,179.72 / $1,917.22
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.76 / $658.67 / $1,158.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.99 / $866.61 / $1,210.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,350.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.46 / $1,108.08 / $1,806.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.23 / $682.23 / $682.23