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Maryland rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.24 / $1,039.98 / $5,167.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.56 / $1,176.54 / $1,344.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.42 / $1,350.58 / $3,051.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.47 / $1,342.60 / $2,146.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.19 / $1,145.76 / $1,972.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.75 / $1,160.89 / $1,443.84