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Ohio rates for HCPCS 50770

Transureteroureterostomy, anastomosis of ureter to contralateral ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.31 / $4,785.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.54 / $1,146.31 / $2,277.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $8,450.20 / $15,206.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.76 / $1,288.89 / $2,212.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.53 / $1,305.04 / $1,615.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.28 / $1,196.28 / $1,272.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.51 / $1,530.53 / $2,344.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.07 / $1,621.52 / $2,264.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.77 / $1,142.84 / $1,620.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.84 / $1,492.08 / $2,554.15