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Wyoming rates for HCPCS 50740

Ureteropyelostomy, anastomosis of ureter and renal pelvis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.40 / $1,238.40 / $1,238.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,412.00 / $2,894.00 / $3,618.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.65 / $2,031.28 / $2,853.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.85 / $2,952.31 / $4,742.76