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Wyoming rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.10 / $1,031.10 / $1,031.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.00 / $2,414.00 / $3,019.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.01 / $1,725.21 / $2,416.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.95 / $2,612.01 / $4,036.56