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Indiana 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
$1,025.84 / $1,303.33 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.84 / $1,095.49 / $1,446.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $11,044.01 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.14 / $1,461.40 / $2,016.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.90 / $1,299.86 / $1,499.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.90 / $1,199.88 / $1,499.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.31 / $1,397.48 / $2,446.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.90 / $1,264.40 / $2,160.85