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Alaska rates for HCPCS 50830

Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,290.87 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,951.21 / $11,748.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $5,128.61 / $12,589.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $11,220.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $8,511.38 / $12,022.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,737.80 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,011.87 / $11,481.54