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Arizona rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.90 / $967.64 / $4,995.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.15 / $782.86 / $978.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.55 / $1,148.09 / $2,084.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.96 / $1,281.55 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.24 / $1,103.29 / $7,127.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.71 / $989.22 / $1,834.26