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Iowa rates for HCPCS 50715

Ureterolysis W/Worpsg Ureter Retroperit Fibrosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.52 / $1,838.95 / $3,070.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.10 / $2,743.40 / $6,608.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$550.73 / $550.73 / $550.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.80 / $2,647.73 / $3,626.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00