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Rhode Island rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.72 / $1,009.94 / $1,382.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.06 / $1,210.66 / $1,920.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $1,318.33 / $2,121.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.90 / $1,404.19 / $1,914.08