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Alabama rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.59 / $1,953.92 / $1,953.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,926.71 / $4,753.60 / $6,395.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.75 / $1,475.00 / $1,740.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.93 / $1,293.95 / $3,187.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,783.00 / $5,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.41 / $1,076.55 / $1,652.84