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Kansas rates for HCPCS 50120

Pyelotomy; with exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.17 / $1,077.17 / $1,512.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.59 / $1,497.18 / $1,497.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.17 / $1,427.57 / $1,886.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,338.79 / $4,478.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.28 / $1,236.59 / $7,127.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.72 / $1,164.92 / $1,717.34