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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,701.16 / $12,172.15 / $19,381.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,668.05 / $5,882.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$550.73 / $550.73 / $550.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68