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Arkansas rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.24 / $1,397.35 / $1,520.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.01 / $1,375.16 / $1,375.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.00 / $1,623.64 / $1,936.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.05 / $1,107.17 / $1,991.09