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California rates for HCPCS 50728

Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,471.29 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $3,801.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $2,290.87
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $100.00 / $6,456.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,905.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $870.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,479.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $5,623.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,888.44 / $5,888.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,905.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $6,165.95 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $2,041.74