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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
$3,388.44 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,778.28 / $7,244.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,162.28 / $7,762.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $6,918.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $5,128.61 / $7,413.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,071.52 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,090.30 / $7,079.46