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California rates for HCPCS 50760

Ureteroureterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.42 / $9,665.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,958.02 / $8,886.00 / $18,332.29
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $5,485.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.15 / $1,240.69 / $1,488.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.61 / $1,429.46 / $2,590.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,280.21 / $9,173.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,188.32 / $1,505.06 / $2,145.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,067.00 / $20,279.00