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Colorado rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,189.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.25 / $1,050.25 / $1,376.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,834.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.84 / $1,498.27 / $2,066.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.41 / $1,547.58 / $2,054.64
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.25 / $1,413.79 / $1,767.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.31 / $1,555.17 / $1,999.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $8,535.00 / $12,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.86 / $1,585.53 / $2,819.59