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Wyoming rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.41 / $948.41 / $948.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.00 / $2,224.00 / $2,779.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.15 / $1,588.35 / $2,257.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.60 / $2,387.91 / $3,701.26