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Mississippi rates for HCPCS 50630

Urtrolithotomy Lower One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.00 / $1,831.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.06 / $2,368.12 / $2,401.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,848.00 / $1,848.00 / $1,848.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.86 / $1,488.18 / $1,942.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,223.00 / $4,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.92 / $1,241.33 / $2,187.85