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Idaho rates for HCPCS 50783

Ureteroneocystostomy; with extensive ureteral tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.83 / $1,463.21 / $2,554.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.42 / $1,935.87 / $2,161.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.74 / $2,215.30 / $2,707.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.63 / $1,907.64 / $2,180.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,777.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.04 / $1,714.04 / $2,107.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.72 / $1,592.98 / $2,408.71