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Pennsylvania rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.39 / $977.69 / $1,244.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.88 / $1,376.38 / $1,934.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.36 / $1,278.13 / $1,991.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.76 / $1,509.07 / $1,514.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.36 / $1,303.36 / $1,303.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.39 / $1,040.09 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,246.09 / $2,433.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.25 / $1,283.13 / $2,065.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.26 / $952.26 / $1,165.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.29 / $957.04 / $1,165.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.04 / $1,193.57 / $1,976.10