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Nebraska rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.85 / $900.85 / $5,167.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.60 / $13,313.50 / $24,992.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.61 / $1,489.10 / $1,985.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.53 / $2,262.40 / $3,009.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.51 / $1,649.44 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.34 / $2,279.15 / $7,304.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.00 / $2,169.81 / $3,009.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.25 / $2,143.35 / $2,995.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,591.50 / $2,433.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.47 / $2,196.36 / $2,689.90