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Kentucky rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,295.99 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.06 / $1,259.45 / $1,495.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,934.66 / $8,915.89 / $14,897.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.73 / $1,181.15 / $1,676.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.13 / $1,590.76 / $1,835.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.70 / $1,590.76 / $2,272.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.23 / $1,396.27 / $1,396.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.90 / $1,617.63 / $2,468.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.63 / $1,514.95 / $2,389.46