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Indiana rates for HCPCS 50900

Ureterorrhaphy, suture of ureter (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.21 / $994.18 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.21 / $839.37 / $1,108.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $11,044.01 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.88 / $1,112.00 / $1,534.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.61 / $1,151.45 / $1,727.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.01 / $997.92 / $1,381.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.66 / $1,099.95 / $1,885.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.77 / $1,003.85 / $1,623.96