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Missouri rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.10 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.76 / $1,404.98 / $1,434.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.00 / $1,477.50 / $2,270.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.25 / $1,803.50 / $2,984.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.00 / $2,049.58 / $7,903.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.14 / $2,249.36 / $8,856.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.00 / $2,693.00 / $10,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.13 / $1,713.38 / $3,360.30