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North Dakota rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.41 / $1,036.41 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.60 / $1,036.41 / $1,036.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.57 / $2,165.21 / $2,595.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.79 / $2,417.94 / $3,122.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.41 / $1,448.01 / $3,109.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.55 / $1,946.68 / $2,685.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.38 / $2,239.21 / $2,685.58