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Rhode Island rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.56 / $1,320.01 / $1,611.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.26 / $1,505.01 / $2,388.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $1,642.30 / $2,541.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $3,630.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.47 / $1,761.99 / $2,705.23