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Missouri 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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,041.74 / $3,548.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,786.30 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,187.76 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,819.70 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $2,454.71 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,691.53 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,884.03 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,818.38 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,454.71 / $4,168.69