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Wisconsin rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,995.26 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,000.00 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,862.09 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,951.21 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $3,090.30 / $3,548.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $6,918.31 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,691.53 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,819.70 / $7,244.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,380.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,238.72 / $3,801.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $8,912.51 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $4,786.30 / $7,079.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,754.40 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,621.81 / $4,168.69