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Iowa 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
$1,737.80 / $5,370.32 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,949.84 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,754.23 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$549.54 / $549.54 / $549.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,754.23 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $7,413.10