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Arkansas rates for HCPCS 50120

Pyelotomy; with exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.31 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.28 / $1,283.59 / $1,395.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.05 / $1,265.35 / $1,265.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.00 / $1,507.29 / $1,780.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.99 / $1,019.26 / $1,962.21