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Indiana rates for HCPCS 50783

Ureteroneocystostomy W/Ureteral Tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.84 / $1,323.72 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.84 / $1,133.59 / $1,428.63
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
$1,201.39 / $1,614.80 / $2,228.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.10 / $1,533.33 / $2,300.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.33 / $1,328.89 / $1,839.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.65 / $1,499.90 / $2,570.67
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
$1,092.49 / $1,311.54 / $2,209.30