go back

Oklahoma rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.24 / $1,633.24 / $1,661.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.36 / $1,965.07 / $2,339.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,944.39 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.43 / $1,852.82 / $10,796.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $2,268.00 / $6,272.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.08 / $1,671.31 / $2,563.48