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Oklahoma rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.75 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.75 / $1,101.75 / $1,120.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.89 / $1,323.05 / $1,614.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,417.02 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.83 / $1,257.06 / $7,304.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.21 / $1,125.45 / $1,798.68