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Washington, DC rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.53 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.53 / $1,005.53 / $1,005.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.66 / $1,135.89 / $1,238.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.48 / $1,293.16 / $3,197.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.26 / $2,121.10 / $2,121.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.98 / $2,041.37 / $2,457.64