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Arizona rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.48 / $1,002.51 / $5,167.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.21 / $809.61 / $1,012.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.65 / $1,191.65 / $2,158.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.81 / $1,340.02 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.88 / $1,152.00 / $7,304.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.97 / $1,080.33 / $1,876.21