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Alabama rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,758.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.30 / $2,758.11 / $2,758.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,255.62 / $11,204.67 / $15,073.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.16 / $2,092.00 / $2,468.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.85 / $1,834.60 / $4,505.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $1,826.00 / $5,314.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.53 / $1,588.76 / $2,335.59