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Washington, DC rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.98 / $1,039.98 / $1,039.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.56 / $1,176.54 / $1,282.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.79 / $1,347.01 / $3,312.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.23 / $2,194.46 / $2,194.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.18 / $2,100.78 / $2,542.64