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Missouri 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
$1,322.44 / $3,907.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.80 / $1,249.93 / $1,276.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.75 / $1,349.16 / $2,163.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.48 / $1,568.84 / $2,884.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,729.00 / $7,903.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.22 / $2,002.07 / $8,473.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.45 / $1,598.63 / $3,010.61