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North Carolina 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
$1,419.86 / $1,615.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.86 / $1,419.86 / $2,506.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.17 / $2,692.71 / $3,705.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,629.04 / $2,421.92 / $3,909.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.86 / $1,998.86 / $3,592.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.86 / $1,998.86 / $3,598.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,386.19 / $3,590.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,906.00 / $6,388.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.67 / $1,988.24 / $4,334.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,673.44 / $13,210.64
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,555.60 / $10,555.60 / $12,029.78