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Virginia rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.07 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.26 / $1,115.07 / $1,217.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,927.78 / $20,791.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.54 / $1,150.31 / $1,577.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.56 / $1,317.72 / $2,294.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.94 / $1,317.81 / $2,442.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.89 / $1,118.27 / $1,379.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.03 / $1,368.50 / $1,903.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.00 / $1,420.00 / $2,286.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.41 / $1,325.93 / $2,353.76
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.41 / $1,325.93 / $2,353.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.19 / $1,314.13 / $2,225.60