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Colorado 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
$2,506.00 / $3,189.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.04 / $1,475.04 / $1,942.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,834.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.23 / $2,107.61 / $2,907.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.29 / $2,175.76 / $2,898.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,475.04 / $2,006.68 / $2,482.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.89 / $2,184.19 / $2,808.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,408.00 / $7,302.00 / $12,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.10 / $2,430.98 / $3,798.43