go back

North Dakota rates for HCPCS 50120

Pyelotomy; with exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.60 / $952.60 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.75 / $952.60 / $952.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.30 / $1,993.29 / $2,389.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.09 / $2,225.98 / $2,874.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.60 / $1,305.58 / $2,857.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.22 / $1,808.42 / $2,468.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.39 / $1,926.16 / $2,468.73