go back

Kansas rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.47 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.80 / $1,171.80 / $1,645.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.76 / $1,609.13 / $1,609.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.28 / $1,552.24 / $2,053.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,437.00 / $4,478.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.29 / $1,340.83 / $7,669.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.05 / $1,263.83 / $2,138.13