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Wyoming rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.11 / $982.11 / $982.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.00 / $2,300.00 / $2,875.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.49 / $1,643.41 / $2,405.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.88 / $1,974.66 / $3,686.81