go back

Missouri rates for HCPCS 50135

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.20 / $2,038.20 / $2,038.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $4,634.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,711.23 / $8,711.23 / $8,711.23