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Kentucky rates for HCPCS 50630

Urtrolithotomy Lower One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.59 / $1,064.70 / $10,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.59 / $909.37 / $1,083.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,934.66 / $8,915.89 / $14,897.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.77 / $955.81 / $1,341.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.66 / $1,155.86 / $1,333.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.46 / $1,155.86 / $1,857.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.49 / $1,014.00 / $1,014.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.21 / $1,260.21 / $1,919.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.93 / $1,201.72 / $1,748.60