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North Carolina rates for HCPCS 50630

Urtrolithotomy Lower One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.30 / $1,615.00 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.30 / $870.30 / $1,533.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.32 / $1,569.11 / $2,269.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.08 / $1,482.42 / $2,361.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.30 / $1,206.61 / $2,206.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.61 / $1,206.61 / $2,204.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,526.60 / $2,208.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.28 / $1,222.58 / $2,652.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,741.40 / $7,109.27
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,487.76 / $6,487.76 / $7,402.58