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New York rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.96 / $3,996.00 / $10,296.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.09 / $1,267.58 / $1,883.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,697.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.05 / $1,047.13 / $2,434.42
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.27 / $1,385.27 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.27 / $1,385.27 / $1,385.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.06 / $1,116.06 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.19 / $1,739.81 / $3,828.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,100.00 / $2,507.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.53 / $1,331.68 / $1,992.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.34 / $1,077.75 / $1,775.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,116.06 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.03 / $1,683.93 / $3,608.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.39 / $1,225.00 / $3,159.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.94 / $1,267.94 / $3,400.62
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.34 / $1,220.95 / $2,070.98