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Rhode Island rates for HCPCS 50630

Urtrolithotomy Lower One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.43 / $917.63 / $1,217.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.61 / $1,099.54 / $1,745.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $1,197.10 / $1,856.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.86 / $1,276.32 / $1,739.80