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Indiana rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.36 / $1,386.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.36 / $888.32 / $1,172.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $11,044.01 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.97 / $1,246.59 / $1,720.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.65 / $1,216.46 / $1,824.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.19 / $1,013.71 / $1,459.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.24 / $1,164.88 / $1,926.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.93 / $1,039.46 / $1,746.68