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Arkansas rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,974.35 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.21 / $1,974.35 / $2,156.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.96 / $1,936.27 / $1,936.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.00 / $2,345.67 / $2,730.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,230.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.85 / $1,564.95 / $2,814.22