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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
$5,358.22 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,474.01 / $8,474.01 / $11,806.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,255.05 / $6,255.05 / $6,255.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.75 / $8,474.01 / $12,117.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,344.95 / $11,283.30 / $14,868.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,716.25 / $7,790.85 / $11,495.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.75 / $8,474.01 / $12,117.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,477.13 / $7,807.50 / $11,629.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,541.70 / $7,506.06 / $11,555.38