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Texas rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.44 / $3,596.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.86 / $1,035.31 / $1,432.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.47 / $925.67 / $1,067.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.61 / $867.61 / $867.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.35 / $1,329.49 / $2,062.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $8,946.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,144.08 / $7,304.24 / $8,148.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.43 / $1,286.88 / $2,172.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.85 / $1,457.48 / $1,714.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.20 / $1,419.20 / $1,419.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.43 / $1,298.61 / $2,329.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.35 / $1,352.03 / $2,238.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.34 / $1,125.45 / $1,739.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.02 / $931.15 / $1,285.98