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Kentucky rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,208.72 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.00 / $1,051.08 / $1,254.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,592.68 / $21,957.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.01 / $1,116.06 / $1,502.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.87 / $1,337.31 / $1,542.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.73 / $1,337.31 / $2,149.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.75 / $1,172.29 / $1,172.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.56 / $1,460.35 / $2,228.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.46 / $1,457.08 / $2,022.18