go back

Wisconsin rates for HCPCS 50135

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,388.44 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,548.13 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,918.31 / $6,918.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $8,709.64 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $17,782.79 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,981.07 / $4,073.80