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Rhode Island rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.21 / $975.63 / $1,299.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.05 / $1,170.65 / $1,855.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $1,274.80 / $1,990.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.27 / $1,221.56 / $1,864.71