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Oklahoma rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,348.96 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,380.38