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North Dakota rates for HCPCS 50740

Ureteropyelostomy, anastomosis of ureter and renal pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.27 / $1,196.27 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.58 / $1,196.27 / $1,196.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,382.38 / $2,595.02 / $3,110.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.10 / $2,756.95 / $3,560.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.27 / $1,676.94 / $3,588.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.58 / $2,223.44 / $3,071.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.51 / $2,581.91 / $3,071.89