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Rhode Island rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.77 / $1,493.46 / $2,005.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.93 / $1,786.98 / $2,850.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $1,945.44 / $3,016.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.08 / $2,084.19 / $3,206.28