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Alabama rates for HCPCS 50750

Ureterocalycostomy, anastomosis of ureter to renal calyx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.26 / $2,181.21 / $2,181.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.42 / $1,654.00 / $1,951.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.88 / $1,451.06 / $3,563.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $5,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.61 / $1,202.14 / $1,846.80