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North Dakota 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
$1,380.38 / $1,445.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,479.11 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,162.28 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,691.53 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,137.96 / $4,365.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,630.27 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,630.27 / $3,630.78