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Mississippi rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,320.00 / $2,645.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.19 / $2,608.21 / $2,645.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.00 / $1,917.00 / $1,917.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.68 / $1,643.14 / $2,235.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,223.00 / $4,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.99 / $1,393.10 / $2,407.51