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Arizona rates for HCPCS 50740

Ureteropyelostomy, anastomosis of ureter and renal pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.44 / $1,281.34 / $6,309.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.97 / $1,009.30 / $1,261.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.34 / $1,405.03 / $2,662.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.08 / $1,539.00 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.09 / $1,390.34 / $8,856.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.00 / $2,572.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.97 / $1,286.58 / $2,402.13