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Delaware rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.84 / $1,047.93 / $1,047.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.56 / $1,278.23 / $1,815.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.18 / $1,196.57 / $2,355.79