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Oklahoma rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.62 / $1,381.62 / $1,405.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.60 / $1,642.65 / $1,892.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,698.27 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.40 / $1,554.82 / $8,856.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $2,545.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.68 / $1,365.13 / $2,261.83