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Indiana rates for HCPCS 50770

Transureteroureterostomy Anast Ureter Clat Urtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.83 / $1,354.25 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.83 / $1,146.31 / $1,512.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $11,044.01 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.33 / $1,582.40 / $2,183.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.88 / $1,359.75 / $1,568.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.96 / $1,202.84 / $1,568.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.74 / $1,509.64 / $2,484.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.18 / $1,388.90 / $2,225.60