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Texas rates for HCPCS 50947

Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,570.88 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,762.47 / $15,488.17
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $7,585.78 / $13,489.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $50,118.72 / $50,118.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,187.76 / $7,585.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,862.09 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $8,709.64 / $17,782.79