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Florida rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.63 / $5,839.00 / $12,444.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.98 / $957.24 / $1,254.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.33 / $1,365.61 / $2,223.98
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.18 / $761.98 / $1,340.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.60 / $984.74 / $1,376.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,350.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.14 / $1,199.20 / $2,092.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.97 / $789.97 / $789.97