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Nebraska rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.89 / $1,081.89 / $6,309.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.60 / $13,313.50 / $24,992.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.32 / $1,780.10 / $2,373.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.29 / $2,704.51 / $3,576.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.70 / $1,893.31 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.18 / $2,734.46 / $8,856.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,910.00 / $2,695.03 / $3,604.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.35 / $2,695.03 / $3,576.49
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
$3,126.00 / $4,317.00 / $7,856.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.87 / $2,621.40 / $3,073.29