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Missouri rates for HCPCS 50947

Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,128.61 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $10,715.19 / $22,908.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,981.07 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,265.80 / $10,000.00