go back

Alaska 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)

Facilitymedian $2,138 · 10th–90th $708–$14,1250%10%10th90th$2,138$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $10,000.00 / $16,982.44
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,412.54 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,318.26 / $4,570.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $19,498.45 / $19,498.45