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Alaska rates for HCPCS 50725

Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,271.82 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,174.38 / $5,174.38 / $7,195.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,812.86 / $3,812.86 / $3,812.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.19 / $5,174.38 / $7,399.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,666.15 / $6,923.70 / $9,084.99
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,121.25 / $4,780.64 / $7,031.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.19 / $5,174.38 / $7,399.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.25 / $4,777.50 / $7,113.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.63 / $4,575.42 / $7,042.55