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Arkansas rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.66 / $1,603.87 / $1,603.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.16 / $1,593.75 / $1,593.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.00 / $1,805.80 / $2,247.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,230.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.27 / $1,301.89 / $2,299.21