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Connecticut rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.53 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.39 / $1,850.53 / $2,631.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,927.44 / $14,057.22 / $19,128.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.53 / $2,126.73 / $2,523.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.86 / $1,611.91 / $3,248.77
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.16 / $1,701.96 / $1,701.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $6,137.00 / $16,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.55 / $1,999.48 / $3,288.94