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Kansas rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $6,560.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.84 / $1,012.84 / $1,422.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.05 / $1,401.24 / $1,401.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.16 / $1,342.83 / $1,775.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,248.10 / $4,478.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.89 / $1,154.95 / $6,633.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.61 / $1,091.74 / $1,848.07