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Idaho rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,801.89 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,905.46 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,548.82 / $1,905.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,995.26 / $3,162.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,659.59 / $1,949.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,584.89 / $1,905.46
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $2,041.74