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North Carolina rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.99 / $1,615.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.99 / $1,205.99 / $2,062.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.22 / $2,027.13 / $3,044.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.17 / $1,866.66 / $3,120.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.99 / $1,525.26 / $2,985.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.26 / $1,525.26 / $3,181.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,796.60 / $3,087.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,906.00 / $6,388.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.69 / $1,563.95 / $3,566.30
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,157.84 / $11,063.60
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,662.16 / $8,662.16 / $10,590.38