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Iowa 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 $5,248 · 10th–90th $1,122–$14,7910%5%10%10th90th$5,248Professionalmedian $1,738 · 10th–90th $724–$3,3110%5%10%10th90th$1,738$100.0$500.0$2.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $4,786.30 / $10,000.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,513.56 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $7,413.10 / $25,118.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,862.09 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,302.69 / $25,118.86