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Wyoming rates for HCPCS 50750

Ureterocalycostomy, anastomosis of ureter to renal calyx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.00 / $1,150.00 / $1,150.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.00 / $2,694.00 / $3,367.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.01 / $1,923.98 / $2,685.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.74 / $2,919.94 / $4,510.42