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Florida rates for HCPCS 50740

Ureteropyelostomy, anastomosis of ureter and renal pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.73 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.70 / $1,177.66 / $1,491.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.22 / $1,636.78 / $2,580.56
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.39 / $938.99 / $1,651.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.60 / $1,205.55 / $1,716.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $5,078.00 / $13,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.19 / $1,468.68 / $2,619.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.47 / $945.47 / $945.47