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Nationwide rates for HCPCS 50130

Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $4,570.88 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,148.15 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $10,000.00 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $3,090.30 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,584.89 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,162.28 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $2,398.83