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Oklahoma 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
$1,234.21 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.21 / $1,234.21 / $1,255.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.34 / $1,485.01 / $1,733.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,525.52 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.51 / $1,402.43 / $8,473.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.56 / $1,264.40 / $2,020.73