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Arkansas rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.53 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.26 / $1,328.53 / $1,457.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.44 / $1,309.55 / $1,309.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.00 / $1,566.62 / $1,841.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.43 / $1,075.91 / $2,030.19