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Oregon rates for HCPCS 50750

Ureterocalycostomy, anastomosis of ureter to renal calyx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.14 / $2,818.87 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.06 / $1,496.93 / $6,064.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.14 / $2,479.29 / $3,371.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.44 / $2,615.86 / $2,945.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.93 / $2,334.46 / $3,218.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.44 / $2,057.25 / $3,659.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.12 / $2,181.15 / $2,296.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.93 / $2,539.82 / $3,089.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.58 / $2,644.60 / $3,370.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,884.35 / $5,884.35 / $5,884.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,083.71 / $2,812.67 / $3,595.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.00 / $7,664.00 / $36,803.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.43 / $2,417.03 / $3,604.49