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Nebraska rates for HCPCS 50135

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.65 / $2,480.65 / $3,100.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,634.55 / $4,634.55 / $4,634.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,711.23 / $8,711.23 / $8,711.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.75 / $2,073.51 / $2,645.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.68 / $2,220.17 / $2,971.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,915.40 / $2,770.10