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Iowa rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.62 / $1,505.29 / $1,505.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.30 / $2,548.14 / $2,882.67
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.22 / $1,614.16 / $2,798.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.61 / $2,543.94 / $6,608.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.48 / $2,424.71 / $7,669.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.38 / $2,251.80 / $3,144.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.38 / $2,251.80 / $3,144.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,776.20 / $2,553.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.59 / $2,354.58 / $3,261.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,985.60 / $1,985.60 / $2,336.00