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North Carolina rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.73 / $1,591.73 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.73 / $1,006.73 / $1,775.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.59 / $1,797.61 / $2,625.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.83 / $1,715.60 / $2,759.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.73 / $1,411.26 / $2,551.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.26 / $1,411.26 / $2,551.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,693.10 / $2,553.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.49 / $1,414.01 / $3,070.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,589.52 / $9,397.76
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,505.04 / $7,505.04 / $8,560.73