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Missouri rates for HCPCS 50783

Ureteroneocystostomy; with extensive ureteral tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.81 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.21 / $1,277.80 / $1,339.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.91 / $1,423.00 / $2,213.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.27 / $1,605.01 / $2,950.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.68 / $1,864.05 / $7,233.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.46 / $2,046.19 / $8,473.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.00 / $1,575.71 / $3,185.23