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Arizona rates for HCPCS 50075

Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.19 / $1,484.05 / $7,660.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.71 / $1,195.60 / $1,494.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.58 / $1,758.61 / $3,199.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.00 / $1,772.11 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.58 / $1,696.14 / $10,796.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.00 / $2,572.00 / $5,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.08 / $1,557.70 / $2,786.19