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Delaware rates for HCPCS 50120

Pyelotomy; with exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.93 / $963.91 / $963.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.13 / $1,174.82 / $1,669.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.81 / $1,094.21 / $2,164.77