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North Carolina 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
$1,615.00 / $1,959.78 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.03 / $1,755.03 / $3,100.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,315.29 / $3,161.01 / $4,582.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.14 / $2,996.42 / $4,814.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.03 / $2,444.09 / $4,436.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,444.09 / $2,444.09 / $4,447.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $2,970.00 / $4,432.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.57 / $2,578.60 / $5,577.99
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,537.19 / $14,276.15
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,038.40 / $13,038.40 / $14,857.35