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Nebraska 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
$1,995.26 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,882.50 / $25,118.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,659.59 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,511.89 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,089.30 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,290.87 / $8,511.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,570.40 / $3,388.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $1,949.84 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,137.96 / $2,754.23