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Nebraska rates for HCPCS 50750

Ureterocalycostomy, anastomosis of ureter to renal calyx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.00 / $1,056.00 / $6,064.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.60 / $13,313.50 / $24,992.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.12 / $1,743.96 / $2,325.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.08 / $2,649.57 / $3,527.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.16 / $1,932.85 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.46 / $2,671.68 / $8,556.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $2,513.38 / $3,527.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.76 / $2,510.17 / $3,507.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,895.70 / $2,844.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.52 / $2,579.78 / $3,160.74