go back

Florida rates for HCPCS 50120

Pyelotomy; with exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.10 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.02 / $901.28 / $1,155.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.28 / $1,256.72 / $1,983.44
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.49 / $701.24 / $1,233.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $823.94 / $1,215.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,350.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.38 / $1,131.50 / $1,923.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.19 / $659.19 / $659.19