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Arizona rates for HCPCS 50750

Ureterocalycostomy, anastomosis of ureter to renal calyx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.93 / $1,174.01 / $6,064.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.03 / $948.04 / $1,185.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.11 / $1,392.57 / $2,534.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.88 / $1,532.83 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.84 / $1,341.08 / $8,556.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.09 / $1,265.77 / $2,404.28