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Nebraska rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.62 / $946.62 / $5,433.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,732.29 / $13,189.77 / $24,760.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.25 / $1,563.50 / $2,084.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.47 / $2,375.42 / $3,162.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.85 / $1,723.12 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.03 / $2,394.94 / $7,669.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,773.00 / $2,251.80 / $3,162.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.38 / $2,251.80 / $3,144.16
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
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.58 / $2,310.32 / $2,445.12