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Missouri rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.83 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.69 / $1,114.22 / $1,137.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $11,288.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.12 / $1,213.95 / $1,932.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.56 / $1,475.88 / $2,569.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.30 / $1,662.30 / $7,223.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.07 / $1,783.75 / $7,304.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.14 / $1,451.00 / $2,682.17