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Delaware rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.69 / $998.24 / $998.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.38 / $1,215.76 / $1,728.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.37 / $1,139.78 / $2,238.98