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Alaska rates for HCPCS 50740

Ureteropyelostomy, anastomosis of ureter and renal pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,522.11 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,570.22 / $5,570.22 / $7,661.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,087.37 / $4,087.37 / $4,087.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.00 / $5,570.22 / $7,965.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.48 / $7,776.30 / $9,724.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,628.75 / $5,369.35 / $7,794.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.00 / $5,570.22 / $7,965.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.30 / $5,347.50 / $7,912.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,143.78 / $4,904.85 / $7,498.69