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Alaska rates for HCPCS 50783

Ureteroneocystostomy; with extensive ureteral tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,346.23 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.83 / $5,292.04 / $5,927.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,899.46 / $3,899.46 / $3,899.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.70 / $5,292.04 / $7,567.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,725.20 / $7,077.00 / $9,292.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,212.50 / $4,886.50 / $7,194.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.70 / $5,292.04 / $7,567.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.93 / $4,882.50 / $7,276.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,846.50 / $4,679.34 / $7,207.10