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Wyoming rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.64 / $1,452.64 / $1,452.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.00 / $3,398.00 / $4,248.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.41 / $2,426.79 / $3,417.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,311.65 / $3,688.51 / $5,699.75