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Idaho rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.39 / $1,160.38 / $2,023.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.44 / $1,533.16 / $1,711.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.61 / $1,767.21 / $2,144.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.70 / $1,514.22 / $1,730.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,409.73 / $1,570.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.08 / $1,360.08 / $1,670.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.03 / $1,290.17 / $1,906.98