go back

Maryland rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.21 / $1,535.90 / $7,660.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.31 / $1,735.97 / $1,984.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.37 / $1,943.19 / $4,502.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.43 / $1,982.27 / $3,171.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.95 / $1,768.62 / $2,927.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.71 / $1,713.99 / $2,132.30