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California rates for HCPCS 50120

Pyelotomy; with exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.58 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.61 / $1,016.28 / $4,995.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,446.00 / $10,450.00 / $21,131.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.86 / $1,447.73 / $2,775.48
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $5,485.17
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.37 / $1,036.64 / $2,547.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.31 / $1,238.32 / $3,773.53
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.41 / $1,057.10 / $1,268.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.34 / $1,215.83 / $2,158.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,986.00 / $8,841.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,127.82 / $7,127.82 / $7,882.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.14 / $1,280.51 / $1,836.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.30 / $1,239.44 / $2,691.77
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,099.32 / $3,099.32 / $3,099.32
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.41 / $1,157.10 / $1,459.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,067.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.38 / $1,144.93 / $3,118.79