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Missouri rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,144.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.09 / $1,012.84 / $1,034.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.25 / $1,078.06 / $1,754.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.19 / $1,271.31 / $2,334.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.47 / $1,511.06 / $6,890.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,621.41 / $6,633.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.03 / $1,240.91 / $2,436.96