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Maryland rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.45 / $1,330.67 / $6,309.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.00 / $1,440.26 / $1,646.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.57 / $1,615.08 / $3,945.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.75 / $1,718.03 / $2,757.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.39 / $1,465.28 / $2,522.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.47 / $1,485.51 / $1,810.88