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California 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
$1,259.15 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.08 / $1,206.41 / $5,798.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,043.88 / $8,981.00 / $19,204.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.46 / $1,652.14 / $3,191.39
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $5,485.17
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.66 / $1,216.93 / $2,986.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.92 / $1,436.00 / $4,321.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.98 / $1,220.48 / $1,464.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.23 / $1,404.47 / $2,495.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,087.92 / $10,240.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,473.45 / $8,473.45 / $9,120.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.39 / $1,496.01 / $2,309.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.23 / $1,446.60 / $3,109.58
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,598.08 / $3,598.08 / $3,598.08
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.98 / $1,354.88 / $1,831.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,067.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.56 / $1,352.24 / $3,691.26