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California rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.76 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.28 / $1,084.29 / $5,167.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,518.00 / $8,370.36 / $18,790.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.15 / $1,485.06 / $2,875.62
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $5,485.17
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.83 / $1,078.58 / $2,650.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.38 / $1,286.82 / $3,900.37
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.89 / $1,093.53 / $1,312.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $1,257.65 / $2,232.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,223.28 / $9,147.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,144.08 / $7,304.24 / $8,148.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.35 / $1,362.45 / $1,841.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.36 / $1,295.97 / $2,785.72
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,206.49 / $3,206.49 / $3,206.49
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.89 / $1,211.83 / $1,528.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,067.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.15 / $1,209.94 / $3,121.94