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Kentucky rates for HCPCS 50750

Ureterocalycostomy, anastomosis of ureter to renal calyx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,368.84 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.08 / $1,173.77 / $1,399.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,934.66 / $8,915.89 / $14,897.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.42 / $1,252.26 / $1,700.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.53 / $1,492.15 / $1,721.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.82 / $1,492.15 / $2,131.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.58 / $1,308.88 / $1,308.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.97 / $1,632.76 / $2,492.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.80 / $1,628.35 / $2,259.48