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Alaska rates for HCPCS 50715

Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $12,022.64 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,949.84 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,623.41 / $7,943.28