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Indiana rates for HCPCS 50780

Ureteroneocystostomy Anast 1 Ureter Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.39 / $2,645.53 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $11,044.01 / $15,154.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.51 / $1,507.08 / $2,260.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00