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Nationwide rates for HCPCS 50080

Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $5,370.32 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $9,120.11 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,511.89 / $11,220.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $7,413.10 / $17,378.01