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Florida rates for HCPCS 50750

Ureterocalycostomy, anastomosis of ureter to renal calyx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.87 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.69 / $1,061.05 / $1,399.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.66 / $1,522.54 / $2,412.71
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.46 / $850.14 / $1,495.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.60 / $1,094.19 / $1,544.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,350.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.69 / $1,379.01 / $2,344.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.40 / $800.40 / $800.40