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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
$1,461.76 / $1,461.76 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.34 / $1,461.76 / $1,461.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,798.64 / $3,047.37 / $3,653.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.61 / $3,393.30 / $4,381.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.76 / $2,033.97 / $4,385.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.37 / $2,749.03 / $3,786.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.37 / $2,928.00 / $3,786.47