go back

Louisiana rates for HCPCS 50740

Ureteropyelostomy, anastomosis of ureter and renal pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.05 / $1,991.01 / $2,118.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.56 / $1,740.78 / $2,269.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.13 / $1,636.04 / $2,164.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.00 / $1,649.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.59 / $1,597.33 / $2,642.11