go back

Texas rates for HCPCS 50740

Ureteropyelostomy, anastomosis of ureter and renal pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,570.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.55 / $1,281.34 / $1,764.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.77 / $2,058.66 / $5,649.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.56 / $1,425.55 / $1,986.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.43 / $1,125.43 / $1,125.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.26 / $1,635.82 / $2,530.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $11,063.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,662.16 / $8,856.87 / $10,590.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.28 / $1,529.89 / $2,710.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.57 / $1,832.62 / $2,156.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.80 / $1,597.80 / $1,597.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.91 / $1,543.46 / $2,943.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.05 / $1,636.46 / $2,624.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.00 / $2,546.00 / $9,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.96 / $1,350.92 / $2,187.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.28 / $1,165.80 / $1,602.83