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Louisiana rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,447.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.06 / $1,403.81 / $1,507.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,576.81 / $6,899.24 / $9,696.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.35 / $1,258.17 / $1,628.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.52 / $1,154.03 / $1,548.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.50 / $1,175.41 / $1,879.26