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Arizona rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.29 / $1,052.25 / $5,433.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.88 / $850.51 / $1,063.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.90 / $1,248.79 / $2,267.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.12 / $1,402.21 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.72 / $1,200.45 / $7,669.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.72 / $1,129.60 / $1,995.10