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Indiana rates for HCPCS 50947

Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,897.79 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $24,547.09 / $31,622.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,380.38 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,995.26 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $11,220.18 / $17,378.01