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Maryland rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.91 / $1,005.53 / $4,995.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.66 / $1,135.89 / $1,298.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.24 / $1,274.80 / $2,946.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.41 / $1,298.63 / $2,073.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.51 / $1,143.95 / $1,907.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.37 / $1,122.86 / $1,396.25