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California rates for HCPCS 50840

Replacement of all or part of ureter by intestine segment, including intestine anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $10,471.29 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,445.44 / $6,025.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $13,182.57 / $22,387.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $3,801.89
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $100.00 / $6,025.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,737.80 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,548.82 / $3,388.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,230.27 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $2,454.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $11,220.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $10,232.93 / $10,232.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $2,754.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,548.82 / $3,235.94
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,548.82 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $6,165.95 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $3,467.37