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Texas rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.80 / $3,669.00 / $12,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.68 / $939.80 / $1,311.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.07 / $1,023.48 / $1,425.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.43 / $788.43 / $788.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.40 / $1,200.02 / $1,855.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $7,109.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,487.76 / $6,633.76 / $7,402.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.16 / $1,168.05 / $1,973.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.80 / $1,323.86 / $1,557.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.40 / $1,336.40 / $1,336.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.16 / $1,180.56 / $2,254.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.40 / $1,218.33 / $2,018.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.02 / $1,023.03 / $1,581.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.48 / $845.82 / $1,167.99