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Nebraska 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
$4,241.22 / $8,477.27 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,732.29 / $13,189.77 / $24,760.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.59 / $1,910.55 / $7,856.00
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
$2,001.00 / $2,647.73 / $3,697.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00