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Connecticut rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,206.02 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.24 / $2,206.02 / $3,136.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,021.45 / $11,075.34 / $12,977.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.30 / $2,498.82 / $2,964.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.05 / $1,831.95 / $3,915.43
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.26 / $2,064.30 / $2,064.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.00 / $6,137.00 / $14,963.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.34 / $2,051.69 / $3,947.29