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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
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.69 / $1,009.69 / $5,798.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.60 / $13,313.50 / $24,992.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.14 / $1,667.30 / $2,223.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.35 / $2,533.09 / $3,371.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.82 / $1,805.19 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.37 / $2,554.52 / $8,473.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.00 / $2,439.94 / $3,371.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.29 / $2,399.54 / $3,351.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,777.50 / $2,720.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.27 / $2,465.67 / $3,019.10