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Kentucky rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,734.54 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.12 / $1,482.18 / $1,768.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,592.68 / $21,957.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.46 / $1,583.13 / $2,146.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.50 / $1,883.83 / $2,173.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.43 / $1,883.83 / $3,027.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.51 / $1,652.99 / $1,652.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.90 / $2,064.84 / $3,151.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,583.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.73 / $2,059.71 / $3,033.92