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California rates for HCPCS 50135

Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,908.00 / $9,104.00 / $18,150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,803.42 / $1,803.42 / $2,600.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.00 / $2,224.00 / $4,305.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,616.92 / $4,634.55
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,711.23 / $8,711.23 / $8,711.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.81 / $2,267.38 / $2,941.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,659.93 / $3,659.93 / $3,659.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,520.00 / $2,520.00 / $2,520.00