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Mississippi rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,320.00 / $2,778.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.87 / $2,740.09 / $2,778.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.00 / $2,031.00 / $2,031.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.22 / $1,728.29 / $2,255.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,223.00 / $4,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.90 / $1,453.34 / $2,266.63