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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $5,091.00 / $9,906.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.87 / $1,223.67 / $2,363.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $2,417.17 / $20,740.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.28 / $2,369.54 / $8,958.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,523.00 / $11,869.99