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North Dakota rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.46 / $895.46 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.86 / $895.46 / $895.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.00 / $1,873.51 / $2,245.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.47 / $2,090.38 / $2,699.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.46 / $1,251.98 / $2,686.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.03 / $1,692.17 / $2,320.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.03 / $1,765.88 / $2,320.48