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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.16 / $1,121.86 / $5,798.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.73 / $906.30 / $1,132.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.86 / $1,331.95 / $2,421.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.20 / $1,473.50 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.17 / $1,270.06 / $8,473.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.96 / $1,210.29 / $2,127.71