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Oregon rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.21 / $2,747.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.78 / $1,341.28 / $5,433.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.34 / $2,221.50 / $3,021.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.55 / $2,348.88 / $2,644.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.28 / $2,091.73 / $2,883.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.04 / $1,849.46 / $3,282.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.78 / $1,944.70 / $2,058.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.28 / $2,271.73 / $2,766.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.46 / $2,367.29 / $3,021.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.81 / $5,266.81 / $5,266.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.08 / $2,521.40 / $3,223.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.00 / $7,664.00 / $36,803.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.99 / $2,471.41 / $3,203.10