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Louisiana rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.76 / $2,296.60 / $2,467.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,806.84 / $15,045.16 / $21,148.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.24 / $2,051.08 / $2,661.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.02 / $1,886.07 / $2,527.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.00 / $1,342.00 / $6,699.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.51 / $1,924.72 / $3,077.28