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Colorado 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
$2,506.00 / $3,189.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,586.00 / $7,563.67 / $13,131.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.86 / $1,595.16 / $2,064.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.00 / $1,819.66 / $2,339.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$37.81 / $37.81 / $37.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$32.14 / $32.14 / $32.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $8,565.00 / $14,156.00