go back

Connecticut rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.62 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.42 / $1,732.62 / $2,463.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,927.44 / $14,057.22 / $19,128.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.03 / $1,950.09 / $2,313.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.42 / $1,481.05 / $2,987.44
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.30 / $1,567.00 / $1,567.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $6,137.00 / $16,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.32 / $1,575.60 / $2,894.00