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Washington, DC rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,137.96 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,071.52 / $3,090.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,071.52 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $2,818.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $2,344.23 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $2,398.83