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Ohio rates for HCPCS 50783

Ureteroneocystostomy; with extensive ureteral tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.42 / $5,580.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.42 / $1,120.42 / $2,225.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $8,450.20 / $15,206.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.83 / $1,233.58 / $2,220.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.44 / $1,274.93 / $1,992.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.68 / $1,270.35 / $2,071.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.34 / $1,564.02 / $2,290.61
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.44 / $1,613.09 / $2,213.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.77 / $1,111.91 / $1,583.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.29 / $1,458.66 / $2,507.67