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Idaho rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Facilitymedian $4,365 · 10th–90th $1,259–$5,4950%10%20%10th90th$4,365Professionalmedian $1,148 · 10th–90th $851–$2,0420%20%10th90th$1,148$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,148.15 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,467.37 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,737.80 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,288.25 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,513.56 / $4,365.16
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,412.54 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,445.44 / $1,513.56
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,174.90 / $1,819.70