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California rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.96 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.89 / $1,111.61 / $5,433.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,108.00 / $9,830.00 / $20,270.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.61 / $1,594.32 / $3,034.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $5,485.17
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.89 / $1,113.09 / $2,737.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.81 / $1,348.64 / $4,098.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.09 / $1,147.11 / $1,376.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.02 / $1,319.65 / $2,343.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,589.52 / $9,603.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,505.04 / $7,669.52 / $8,560.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.20 / $1,400.64 / $1,929.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.96 / $1,356.00 / $2,925.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,371.61 / $3,371.61 / $3,371.61
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.09 / $1,248.14 / $1,574.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,067.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.24 / $1,270.05 / $3,458.92