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Ohio 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
$1,095.49 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.11 / $1,095.49 / $2,176.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $8,450.20 / $15,206.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.33 / $1,194.84 / $2,143.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.29 / $1,247.15 / $1,543.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.22 / $1,143.22 / $1,212.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.73 / $1,455.01 / $2,239.30
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.29 / $1,570.86 / $2,163.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $1,085.03 / $1,520.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.96 / $1,413.29 / $2,440.92