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North Carolina rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.72 / $1,481.67 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.72 / $925.72 / $1,630.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.62 / $1,621.84 / $2,412.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.38 / $1,575.95 / $2,535.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.72 / $1,289.74 / $2,347.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.74 / $1,289.74 / $2,344.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,533.50 / $2,349.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.10 / $1,236.53 / $2,573.90
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,986.00 / $8,649.92
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,127.82 / $7,127.82 / $7,882.88