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Oklahoma rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.22 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.22 / $1,157.22 / $1,177.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,701.16 / $12,172.15 / $19,381.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.21 / $1,341.21 / $1,369.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.73 / $1,390.42 / $1,647.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,429.25 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.90 / $1,314.59 / $7,669.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,723.87 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.54 / $1,184.21 / $1,816.36