go back

South Carolina rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.49 / $2,705.08 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.66 / $1,195.49 / $1,533.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.23 / $1,400.00 / $2,461.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.26 / $1,400.78 / $2,560.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.66 / $1,324.18 / $2,167.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.49 / $822.70 / $1,461.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.29 / $1,329.99 / $2,587.82