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Iowa rates for HCPCS 50630

Urtrolithotomy Lower One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,393.00 / $5,549.00 / $10,506.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.44 / $1,301.31 / $1,301.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,943.24 / $2,203.91 / $2,492.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.62 / $1,460.13 / $2,395.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.80 / $2,203.91 / $6,608.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.93 / $2,094.56 / $6,633.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.26 / $1,946.86 / $2,718.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.26 / $1,946.86 / $2,718.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,536.60 / $2,208.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.80 / $1,836.98 / $2,817.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.70 / $1,716.70 / $2,019.60